| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $98.88 | $116.07 | $116.07 |
Aetna
| Professional | 26 | $125.00 | $125.00 | $125.00 |
Cigna
| Professional | 26 | $59.84 | $96.58 | $151.06 |
United
| Professional | 26 | $72.84 | $116.24 | $207.37 |