| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.05 | $66.97 | $66.97 |
Aetna
| Professional | $123.44 | $209.05 | $256.43 | |
Cigna
| Professional | $114.50 | $239.15 | $587.09 | |
United
| Professional | $124.79 | $237.44 | $615.32 |