| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $148.54 | $148.54 | $174.86 |
Aetna
| Professional | 26 | $103.49 | $137.41 | $528.29 |
Cigna
| Professional | 26 | $106.24 | $141.10 | $185.74 |
Providence
| Professional | 26 | $106.24 | $156.21 | $185.74 |
United
| Professional | 26 | $80.98 | $86.91 | $185.80 |