| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $92.13 | $165.83 | $197.41 |
Aetna
| Professional | 26 | $92.13 | $165.83 | $200.00 |
Cigna
| Professional | 26 | $93.03 | $160.40 | $210.72 |
United
| Professional | 26 | $80.12 | $97.14 | $167.26 |