| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $71.66 | $84.12 | $84.12 |
Aetna
| Professional | $288.11 | $331.86 | $343.24 | |
Aetna
| Professional | 26 | $55.35 | $59.90 | $62.82 |
Cigna
| Professional | $212.69 | $334.76 | $450.43 | |
Cigna
| Professional | 26 | $42.92 | $69.78 | $81.84 |
United
| Professional | $214.82 | $328.22 | $835.22 | |
United
| Professional | 26 | $59.81 | $79.68 | $152.19 |