| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.60 | $33.60 | $33.60 | |
Aetna
| Professional | $23.76 | $33.60 | $36.10 | |
Cigna
| Facility | $25.73 | $25.73 | $25.73 | |
Cigna
| Professional | $18.97 | $18.97 | $107.58 | |
United
| Professional | $18.89 | $29.85 | $41.71 |