| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $86.97 | $102.10 | $102.10 |
Aetna
| Professional | $196.11 | $229.26 | $548.88 | |
Cigna
| Professional | $174.27 | $230.71 | $475.34 | |
United
| Professional | $153.94 | $230.66 | $612.55 |