| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.11 | $85.11 | $100.00 |
Aetna
| Professional | $275.42 | $426.58 | $691.83 | |
Cigna
| Professional | $275.42 | $512.86 | $812.83 | |
United
| Professional | $257.04 | $426.58 | $870.96 |