| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.84 | $52.48 | $53.70 |
Aetna
| Professional | 26 | $28.84 | $100.00 | $199.53 |
Ambetter
| Professional | 26 | $19.05 | $23.44 | $29.51 |
Cigna
| Professional | 26 | $30.20 | $51.29 | $70.79 |
United
| Professional | 26 | $24.55 | $31.62 | $53.70 |