| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $82.73 | $97.12 | $170.85 |
Aetna
| Professional | $119.21 | $126.30 | $133.78 | |
Cigna
| Professional | $119.75 | $161.44 | $208.13 | |
United
| Professional | $124.50 | $170.94 | $335.50 |