| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $95.50 | |
Aetna
| Professional | $63.10 | $66.07 | $95.50 | |
Cigna
| Facility | $67.61 | $67.61 | $67.61 | |
Cigna
| Professional | $67.61 | $67.61 | $67.61 | |
United
| Professional | $60.26 | $194.98 | $316.23 |