| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $97.58 | $97.58 | $97.58 |
Aetna
| Professional | $66.98 | $89.44 | $189.62 | |
Aetna
| Professional | 26 | $30.16 | $37.97 | $57.17 |
Cigna
| Professional | $70.78 | $92.55 | $135.81 | |
Cigna
| Professional | 26 | $31.79 | $45.99 | $67.06 |
United
| Professional | $62.33 | $94.10 | $193.71 | |
United
| Professional | 26 | $28.55 | $43.79 | $86.70 |