| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.66 | $60.02 | $165.15 | |
Aetna
| Professional | $12.06 | $12.66 | $14.47 | |
Cigna
| Facility | $10.21 | $12.05 | $12.05 | |
Cigna
| Professional | $12.05 | $12.05 | $12.05 | |
United
| Professional | $11.58 | $12.06 | $15.68 |