| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $112.30 | $131.83 | $321.25 |
Aetna
| Professional | 26 | $90.00 | $125.00 | $125.00 |
Cigna
| Professional | 26 | $67.68 | $109.61 | $173.45 |
United
| Professional | 26 | $78.36 | $113.30 | $237.35 |