| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $66.39 | $88.90 | $88.90 |
Aetna
| Professional | $185.58 | $219.60 | $522.50 | |
Cigna
| Professional | $174.74 | $293.42 | $438.09 | |
United
| Professional | $206.66 | $473.14 | $999.25 |