| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $58.23 | $58.23 | $58.23 |
Aetna
| Professional | $179.62 | $234.30 | $234.30 | |
Cigna
| Facility | 26 | $83.69 | $83.69 | $83.69 |
Cigna
| Professional | $194.81 | $301.08 | $1,159.98 | |
United
| Professional | $132.04 | $197.87 | $365.09 |