| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.87 | $28.87 | $28.87 |
Aetna
| Professional | 26 | $28.87 | $125.00 | $291.50 |
Cigna
| Facility | 26 | $32.90 | $32.90 | $32.90 |
Cigna
| Professional | 26 | $34.01 | $37.93 | $134.09 |
United
| Professional | 26 | $20.32 | $30.32 | $52.65 |