| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $58.47 | $58.47 | $58.47 |
Aetna
| Professional | $265.61 | $351.81 | $351.81 | |
Cigna
| Facility | 26 | $83.69 | $83.69 | $83.69 |
Cigna
| Professional | $368.12 | $442.65 | $1,722.81 | |
United
| Professional | $256.63 | $407.68 | $676.02 |