| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $76.00 | $89.22 | $89.22 |
Aetna
| Professional | $111.36 | $130.06 | $216.24 | |
Cigna
| Professional | $96.87 | $140.78 | $242.22 | |
United
| Professional | $102.78 | $130.61 | $287.33 |