| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.78 | $53.78 | $61.84 | |
Aetna
| Professional | $53.78 | $53.78 | $53.78 | |
Cigna
| Facility | $51.86 | $51.86 | $51.86 | |
Cigna
| Professional | $55.08 | $55.08 | $55.08 | |
United
| Professional | $51.30 | $54.00 | $54.00 |