| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $81.56 | $81.56 | $81.56 |
Aetna
| Professional | $592.40 | $643.27 | $796.99 | |
Cigna
| Facility | 26 | $96.65 | $96.65 | $96.65 |
Cigna
| Professional | $750.29 | $771.24 | $2,954.52 | |
United
| Professional | $416.77 | $661.19 | $1,234.23 |