| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $26.30 | $47,863.01 | |
Aetna
| Professional | $23.99 | $25.12 | $25.70 | |
Cigna
| Facility | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
United
| Facility | $26.30 | $26.30 | $30.90 | |
United
| Professional | $29.51 | $30.90 | $125.89 |