| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.32 | $36.32 | $36.32 |
Aetna
| Professional | $260.55 | $280.95 | $366.78 | |
Cigna
| Facility | 26 | $42.17 | $42.17 | $42.17 |
Cigna
| Professional | $269.93 | $333.59 | $1,286.27 | |
United
| Professional | $182.94 | $279.83 | $509.85 |