| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.14 | $30.14 | $30.14 |
Aetna
| Professional | $169.28 | $213.34 | $229.32 | |
Cigna
| Facility | 26 | $35.11 | $35.11 | $35.11 |
Cigna
| Professional | $165.84 | $276.08 | $1,066.43 | |
United
| Professional | $146.21 | $209.97 | $315.58 |