| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $38.90 | $45.71 | $85.11 |
Aetna
| Professional | $162.18 | $218.78 | $537.03 | |
Cigna
| Professional | $131.83 | $208.93 | $407.38 | |
United
| Professional | $169.82 | $213.80 | $537.03 |