| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $104.71 | $104.71 | $123.03 |
Aetna
| Professional | $134.90 | $162.18 | $389.05 | |
Aetna
| Professional | 26 | $74.13 | $91.20 | $218.78 |
Cigna
| Professional | $120.23 | $251.19 | $660.69 | |
Cigna
| Professional | 26 | $66.07 | $102.33 | $165.96 |
United
| Professional | $141.25 | $257.04 | $676.08 | |
United
| Professional | 26 | $72.44 | $100.00 | $190.55 |