| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $104.71 | $186.21 | $199.53 |
Aetna
| Professional | 26 | $93.33 | $125.89 | $223.87 |
Ambetter
| Professional | 26 | $93.33 | $93.33 | $234.42 |
Cigna
| Professional | 26 | $102.33 | $177.83 | $239.88 |
United
| Professional | 26 | $87.10 | $109.65 | $190.55 |