| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.72 | $93.58 | $93.58 |
Aetna
| Professional | $369.25 | $369.25 | $474.01 | |
Cigna
| Professional | $337.95 | $438.91 | $675.58 | |
United
| Professional | $223.71 | $414.42 | $1,048.15 |