| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.04 | $73.00 | $108.32 | |
Aetna
| Professional | 26 | $38.17 | $42.25 | $57.99 |
Cigna
| Professional | $72.51 | $80.31 | $132.97 | |
Cigna
| Professional | 26 | $39.57 | $51.18 | $76.06 |
United
| Professional | $55.33 | $75.25 | $164.36 | |
United
| Professional | 26 | $35.89 | $50.47 | $98.69 |