| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.54 | $57.54 | $57.54 |
Aetna
| Professional | $120.23 | $151.36 | $239.88 | |
Cigna
| Facility | 26 | $18.20 | $83.18 | $120.23 |
Cigna
| Professional | $151.36 | $331.13 | $707.95 | |
United
| Professional | $102.33 | $134.90 | $239.88 |