| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $76.81 | $76.81 | $76.81 |
Aetna
| Professional | $233.65 | $237.69 | $308.17 | |
Cigna
| Facility | 26 | $109.64 | $109.64 | $109.64 |
Cigna
| Professional | $254.75 | $396.16 | $1,526.35 | |
United
| Professional | $184.76 | $260.33 | $478.34 |