| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $76.14 | $89.38 | $321.25 |
Aetna
| Professional | 26 | $90.00 | $90.00 | $125.00 |
Cigna
| Professional | 26 | $45.28 | $73.72 | $114.71 |
United
| Professional | 26 | $52.87 | $76.23 | $160.04 |