| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $81.28 | $81.28 | $95.50 |
Aetna
| Professional | $371.54 | $426.58 | $1,584.89 | |
Aetna
| Professional | 26 | $69.18 | $125.89 | $234.42 |
Cigna
| Professional | $331.13 | $501.19 | $776.25 | |
Cigna
| Professional | 26 | $53.70 | $89.13 | $123.03 |
United
| Professional | $208.93 | $478.63 | $776.25 | |
United
| Professional | 26 | $29.51 | $75.86 | $131.83 |