| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.32 | $50.12 | $223.87 | |
Aetna
| Professional | $10.96 | $10.96 | $12.88 | |
Cigna
| Facility | $11.22 | $11.22 | $11.22 | |
Cigna
| Professional | $11.22 | $11.22 | $11.22 | |
United
| Professional | $10.96 | $11.22 | $20.42 |