| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $126.00 | $182.21 | $182.21 |
Aetna
| Professional | $425.00 | $425.00 | $637.50 | |
Cigna
| Professional | $430.16 | $720.54 | $1,132.94 | |
United
| Professional | $411.40 | $780.25 | $1,131.34 |