| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.10 | $37.68 | $321.25 |
Aetna
| Professional | 26 | $90.00 | $125.00 | $125.00 |
Cigna
| Professional | 26 | $21.10 | $32.02 | $49.33 |
United
| Professional | 26 | $24.44 | $36.28 | $69.69 |