| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.63 | $252.60 | $252.81 | |
Aetna
| Professional | 26 | $49.67 | $58.80 | $60.34 |
Cigna
| Professional | $222.24 | $283.69 | $459.61 | |
Cigna
| Professional | 26 | $41.17 | $62.76 | $97.40 |
United
| Professional | $197.38 | $255.93 | $533.67 | |
United
| Professional | 26 | $43.39 | $53.42 | $121.63 |