| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $92.21 | $108.24 | $108.24 |
Aetna
| Professional | 26 | $90.00 | $90.00 | $125.00 |
Cigna
| Professional | 26 | $61.35 | $93.56 | $145.05 |
United
| Professional | 26 | $70.50 | $113.89 | $193.96 |