| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.81 | $41.69 | $47.86 |
Aetna
| Professional | 26 | $28.18 | $100.00 | $288.40 |
Cigna
| Professional | 26 | $33.88 | $46.77 | $67.61 |
Providence
| Professional | 26 | $33.88 | $45.71 | $67.61 |
United
| Professional | 26 | $26.92 | $28.18 | $52.48 |