| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.50 | $66.84 | $95.39 | |
Aetna
| Professional | 26 | $32.63 | $41.42 | $47.96 |
Cigna
| Professional | $66.53 | $73.94 | $121.90 | |
Cigna
| Professional | 26 | $34.07 | $44.70 | $65.48 |
United
| Professional | $52.84 | $68.73 | $150.72 | |
United
| Professional | 26 | $30.25 | $44.14 | $89.13 |