| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.36 | $91.99 | $126.00 |
Aetna
| Professional | $423.05 | $425.00 | $475.00 | |
Aetna
| Professional | 26 | $73.51 | $126.00 | $140.00 |
Cigna
| Professional | $330.94 | $500.96 | $769.51 | |
Cigna
| Professional | 26 | $54.15 | $78.29 | $122.08 |
United
| Professional | $385.52 | $491.43 | $1,042.34 | |
United
| Professional | 26 | $29.61 | $71.70 | $163.24 |