| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.77 | $118.30 | $118.30 |
Aetna
| Professional | 26 | $125.00 | $125.00 | $125.00 |
Cigna
| Professional | 26 | $61.99 | $100.14 | $156.88 |
United
| Professional | 26 | $72.83 | $118.14 | $208.08 |