| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $43.82 | $43.82 | $43.82 |
Aetna
| Professional | $182.50 | $240.40 | $240.40 | |
Cigna
| Facility | 26 | $62.66 | $62.66 | $62.66 |
Cigna
| Professional | $235.30 | $301.82 | $1,172.47 | |
United
| Professional | $163.16 | $266.50 | $529.12 |