| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $81.28 | $81.28 | $81.28 |
Aetna
| Professional | $114.82 | $138.04 | $234.42 | |
Cigna
| Facility | 26 | $20.42 | $95.50 | $134.90 |
Cigna
| Professional | $138.04 | $398.11 | $851.14 | |
United
| Professional | $93.33 | $158.49 | $281.84 |