| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $70.09 | $126.19 | $150.22 |
Aetna
| Professional | 26 | $70.09 | $101.48 | $200.00 |
Ambetter
| Professional | 26 | $158.18 | $158.18 | $158.18 |
Cigna
| Professional | 26 | $69.73 | $117.16 | $162.01 |
United
| Professional | 26 | $58.34 | $69.90 | $122.86 |