| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $85.11 | $117.49 | $281.84 |
Cigna
| Professional | $204.17 | $239.88 | $263.03 | |
Cigna
| Professional | 26 | $35.48 | $44.67 | $47.86 |
United
| Professional | $63.10 | $114.82 | $229.09 | |
United
| Professional | 26 | $25.70 | $36.31 | $64.57 |