| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.57 | $64.57 | $75.86 |
Aetna
| Professional | $302.00 | $426.58 | $1,122.02 | |
Cigna
| Professional | $323.59 | $389.05 | $588.84 | |
United
| Professional | $302.00 | $398.11 | $741.31 |