| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.74 | $56.29 | $59.13 | |
Aetna
| Professional | $49.28 | $54.74 | $66.53 | |
Cigna
| Facility | $12.08 | $49.28 | $49.28 | |
Cigna
| Professional | $49.28 | $49.28 | $49.28 | |
United
| Professional | $47.31 | $49.28 | $64.06 |