| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $120.23 | $125.89 | $144.54 |
Aetna
| Professional | 26 | $85.11 | $151.36 | $371.54 |
Cigna
| Professional | 26 | $102.33 | $141.25 | $204.17 |
Providence
| Professional | 26 | $102.33 | $134.90 | $204.17 |
United
| Professional | 26 | $79.43 | $85.11 | $158.49 |