| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.91 | $47.20 | $47.20 |
Aetna
| Professional | $197.01 | $211.16 | $215.12 | |
Cigna
| Facility | 26 | $50.32 | $50.32 | $50.32 |
Cigna
| Professional | $220.03 | $257.50 | $993.16 | |
United
| Professional | $159.32 | $217.24 | $421.85 |