| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $104.71 | $134.90 | |
Aetna
| Professional | $83.18 | $87.10 | $104.71 | |
Cigna
| Facility | $89.13 | $169.82 | $169.82 | |
Cigna
| Professional | $89.13 | $89.13 | $467.74 | |
United
| Professional | $87.10 | $93.33 | $104.71 |