| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $54.20 | $54.20 | $54.20 |
Aetna
| Professional | $196.37 | $205.90 | $205.90 | |
Cigna
| Facility | 26 | $63.01 | $63.01 | $63.01 |
Cigna
| Professional | $253.90 | $314.41 | $1,380.84 | |
United
| Professional | $159.56 | $290.18 | $498.10 |