| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.78 | $154.40 | $183.80 |
Aetna
| Professional | 26 | $85.78 | $124.17 | $245.70 |
Cigna
| Professional | 26 | $87.45 | $155.25 | $196.23 |
United
| Professional | 26 | $75.29 | $88.78 | $163.92 |