| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $46.77 | $72.44 | |
Aetna
| Professional | 26 | $19.05 | $20.89 | $28.18 |
Cigna
| Professional | $39.81 | $48.98 | $112.20 | |
Cigna
| Professional | 26 | $19.95 | $26.92 | $44.67 |
United
| Professional | $30.20 | $44.67 | $97.72 | |
United
| Professional | 26 | $17.78 | $25.12 | $48.98 |