| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $51.29 | $51.29 | |
Aetna
| Professional | $39.81 | $41.69 | $50.12 | |
Cigna
| Facility | $42.66 | $42.66 | $102.33 | |
Cigna
| Professional | $42.66 | $288.40 | $288.40 | |
United
| Facility | $36.31 | $36.31 | $36.31 | |
United
| Professional | $40.74 | $42.66 | $63.10 |