| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.62 | $65.25 | $84.20 | |
Aetna
| Professional | 26 | $34.84 | $44.98 | $57.56 |
Cigna
| Professional | $56.43 | $78.05 | $114.16 | |
Cigna
| Professional | 26 | $38.83 | $54.91 | $79.34 |
United
| Professional | $51.79 | $66.16 | $144.88 | |
United
| Professional | 26 | $33.50 | $51.38 | $102.74 |