| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.48 | $49.99 | $76.55 | |
Aetna
| Professional | 26 | $19.55 | $20.88 | $30.91 |
Cigna
| Professional | $38.77 | $48.38 | $93.52 | |
Cigna
| Professional | 26 | $20.77 | $24.87 | $39.96 |
United
| Professional | $30.38 | $42.85 | $109.71 | |
United
| Professional | 26 | $17.97 | $22.15 | $52.98 |