| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.41 | $74.42 | $99.98 | |
Aetna
| Professional | 26 | $20.14 | $22.79 | $29.64 |
Cigna
| Professional | $61.23 | $85.45 | $137.81 | |
Cigna
| Professional | 26 | $18.96 | $27.74 | $43.01 |
United
| Professional | $63.46 | $79.33 | $174.53 | |
United
| Professional | 26 | $19.34 | $23.79 | $39.24 |