| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.96 | $85.96 | $85.96 | |
Aetna
| Professional | $80.90 | $85.96 | $85.96 | |
Cigna
| Facility | $85.96 | $85.96 | $85.96 | |
Cigna
| Professional | $85.96 | $85.96 | $85.96 | |
United
| Professional | $136.47 | $136.47 | $197.65 |