| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.92 | $55.92 | $55.92 |
Aetna
| Professional | $369.25 | $413.20 | $515.76 | |
Cigna
| Facility | 26 | $80.78 | $80.78 | $80.78 |
Cigna
| Professional | $211.64 | $647.60 | $2,544.42 | |
United
| Professional | $208.81 | $374.08 | $740.11 |