| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.79 | $14.79 | $14.79 | |
Aetna
| Professional | $14.13 | $14.13 | $46.77 | |
Cigna
| Facility | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $61.66 | $61.66 | $61.66 | |
United
| Professional | $36.31 | $61.66 | $61.66 |