| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $40.74 | $41.69 | |
Aetna
| Professional | $38.90 | $40.74 | $48.98 | |
Cigna
| Facility | $21.88 | $25.70 | $64.57 | |
Cigna
| Professional | $21.88 | $25.70 | $25.70 | |
United
| Facility | $0.71 | $0.71 | $0.71 | |
United
| Professional | $28.84 | $70.79 | $70.79 |