| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $75.86 | $151.36 | |
Aetna
| Professional | 26 | $38.02 | $42.66 | $70.79 |
Cigna
| Professional | $72.44 | $83.18 | $169.82 | |
Cigna
| Professional | 26 | $39.81 | $52.48 | $91.20 |
United
| Professional | $57.54 | $77.62 | $165.96 | |
United
| Professional | 26 | $35.48 | $50.12 | $97.72 |