| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $16.60 | |
Aetna
| Professional | $15.85 | $15.85 | $15.85 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
United
| Facility | $15.85 | $15.85 | $16.98 | |
United
| Professional | $30.90 | $33.88 | $36.31 |