| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $69.97 | $69.97 | $131.24 |
Aetna
| Professional | $104.51 | $122.74 | $315.44 | |
Cigna
| Professional | $100.15 | $209.26 | $571.12 | |
United
| Professional | $115.18 | $224.75 | $616.48 |