| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.48 | $95.84 | $95.84 | |
Aetna
| Professional | $65.48 | $67.89 | $95.84 | |
Cigna
| Facility | $19.55 | $67.89 | $67.89 | |
Cigna
| Professional | $67.89 | $67.89 | $67.89 | |
United
| Professional | $66.56 | $66.56 | $106.50 |