| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $58.23 | $58.23 | $58.23 |
Aetna
| Professional | $110.52 | $138.21 | $152.04 | |
Cigna
| Facility | 26 | $83.69 | $83.69 | $83.69 |
Cigna
| Professional | $152.85 | $185.90 | $701.60 | |
United
| Professional | $101.81 | $159.40 | $288.64 |