| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $96.69 | $113.51 | $321.25 |
Aetna
| Professional | 26 | $90.00 | $125.00 | $125.00 |
Cigna
| Professional | 26 | $62.96 | $95.19 | $146.40 |
United
| Professional | 26 | $72.67 | $107.64 | $206.78 |