| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $317.83 | $373.10 | $373.10 |
Aetna
| Professional | $719.04 | $761.84 | $814.90 | |
Cigna
| Professional | $734.79 | $1,025.67 | $1,330.91 | |
United
| Professional | $767.17 | $1,078.53 | $2,030.88 |