| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.28 | $89.13 | $141.25 | |
Aetna
| Professional | 26 | $28.18 | $32.36 | $72.44 |
Cigna
| Professional | $75.86 | $117.49 | $181.97 | |
Cigna
| Professional | 26 | $26.92 | $40.74 | $64.57 |
United
| Professional | $75.86 | $97.72 | $144.54 | |
United
| Professional | 26 | $27.54 | $33.11 | $52.48 |