| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $147.76 | $147.76 | $174.86 |
Aetna
| Professional | 26 | $118.21 | $135.28 | $524.91 |
Cigna
| Professional | 26 | $102.50 | $134.96 | $177.49 |
Providence
| Professional | 26 | $102.50 | $149.41 | $177.49 |
United
| Professional | 26 | $79.04 | $82.55 | $185.09 |