| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.03 | $47.12 | $326.45 | |
Aetna
| Professional | $21.07 | $21.07 | $21.07 | |
Cigna
| Facility | $19.57 | $23.12 | $28.18 | |
Cigna
| Professional | $18.17 | $18.17 | $18.17 | |
United
| Professional | $17.26 | $18.17 | $18.17 |