| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $105.94 | $105.94 | $105.94 |
Aetna
| Professional | 26 | $96.42 | $105.94 | $233.80 |
Cigna
| Facility | 26 | $124.44 | $124.44 | $124.44 |
Cigna
| Professional | 26 | $117.94 | $145.66 | $532.51 |
United
| Professional | 26 | $83.03 | $152.74 | $256.56 |