| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $75.86 | |
Aetna
| Professional | $70.79 | $72.44 | $107.15 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $75.86 | $75.86 | $239.88 | |
United
| Facility | $33.88 | $33.88 | $33.88 | |
United
| Professional | $89.13 | $89.13 | $89.13 |