| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.11 | $85.11 | $97.72 |
Aetna
| Professional | $190.55 | $223.87 | $630.96 | |
Cigna
| Professional | $194.98 | $223.87 | $316.23 | |
United
| Professional | $177.83 | $213.80 | $457.09 |