| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.76 | $88.94 | $88.94 |
Aetna
| Professional | $226.57 | $240.06 | $268.95 | |
Cigna
| Professional | $208.34 | $306.06 | $397.04 | |
United
| Professional | $248.54 | $354.82 | $656.62 |