| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $103.14 | $121.08 | $121.08 |
Aetna
| Professional | $140.21 | $225.80 | $250.75 | |
Aetna
| Professional | 26 | $77.76 | $83.83 | $93.27 |
Cigna
| Professional | $123.28 | $265.98 | $643.78 | |
Cigna
| Professional | 26 | $67.09 | $94.74 | $167.06 |
United
| Professional | $140.94 | $258.81 | $677.99 | |
United
| Professional | 26 | $72.02 | $102.95 | $218.47 |