| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.27 | $90.53 | $108.54 | |
Aetna
| Professional | 26 | $28.24 | $32.47 | $35.86 |
Cigna
| Professional | $77.69 | $108.11 | $166.89 | |
Cigna
| Professional | 26 | $27.98 | $38.82 | $56.81 |
United
| Professional | $75.75 | $97.53 | $162.68 | |
United
| Professional | 26 | $27.50 | $34.63 | $55.63 |