| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.11 | $38.90 | $323.59 |
Aetna
| Professional | 26 | $28.84 | $125.89 | $125.89 |
Cigna
| Professional | 26 | $20.89 | $32.36 | $52.48 |
United
| Professional | 26 | $24.55 | $36.31 | $69.18 |