| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $48.89 | $57.39 | $108.22 |
Aetna
| Professional | $181.19 | $215.12 | $215.66 | |
Cigna
| Professional | $158.38 | $244.12 | $287.32 | |
United
| Professional | $199.52 | $266.93 | $529.70 |