| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.93 | $46.87 | $46.87 |
Aetna
| Professional | $147.30 | $156.07 | $175.30 | |
Cigna
| Professional | $119.69 | $188.44 | $223.49 | |
United
| Professional | $145.94 | $160.18 | $421.50 |