| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $131.83 | $131.83 | $154.88 |
Aetna
| Professional | $275.42 | $354.81 | $489.78 | |
Cigna
| Professional | $316.23 | $575.44 | $1,000.00 | |
United
| Professional | $354.81 | $549.54 | $1,122.02 |