| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $82.05 | $82.05 | $82.05 |
Aetna
| Professional | $124.63 | $126.21 | $151.16 | |
Cigna
| Facility | 26 | $95.47 | $95.47 | $95.47 |
Cigna
| Professional | $146.46 | $174.54 | $817.13 | |
United
| Professional | $104.74 | $183.45 | $378.83 |