| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $38.31 | $38.31 | $38.31 |
Aetna
| Professional | $255.26 | $274.17 | $274.17 | |
Cigna
| Facility | 26 | $44.16 | $44.16 | $44.16 |
Cigna
| Professional | $321.43 | $327.74 | $1,256.61 | |
United
| Professional | $181.72 | $288.33 | $538.23 |