| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $63.10 | $63.10 | $74.13 |
Aetna
| Professional | $151.36 | $213.80 | $524.81 | |
Cigna
| Professional | $165.96 | $239.88 | $398.11 | |
United
| Professional | $199.53 | $316.23 | $524.81 |