| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $66.14 | $66.14 | $66.14 |
Aetna
| Professional | $247.01 | $259.66 | $370.09 | |
Cigna
| Facility | 26 | $77.70 | $77.70 | $77.70 |
Cigna
| Professional | $318.32 | $374.94 | $1,641.59 | |
United
| Professional | $199.88 | $273.56 | $594.61 |