| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $58.81 | $69.04 | $69.04 |
Aetna
| Professional | $105.47 | $188.50 | $209.93 | |
Cigna
| Professional | $93.06 | $199.98 | $564.30 | |
United
| Professional | $109.07 | $185.38 | $615.32 |