| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.90 | $39.79 | $39.79 |
Aetna
| Professional | $169.28 | $169.28 | $235.87 | |
Cigna
| Professional | $121.45 | $189.54 | $238.04 | |
United
| Professional | $148.88 | $226.91 | $589.04 |