| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.54 | $57.54 | $57.54 |
Aetna
| Professional | $194.98 | $251.19 | $380.19 | |
Cigna
| Facility | 26 | $18.20 | $83.18 | $120.23 |
Cigna
| Professional | $194.98 | $416.87 | $1,148.15 | |
United
| Professional | $131.83 | $186.21 | $354.81 |