| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $104.16 | $187.49 | $223.21 |
Aetna
| Professional | 26 | $90.00 | $150.79 | $223.21 |
Ambetter
| Professional | 26 | $233.03 | $233.03 | $233.03 |
Cigna
| Professional | 26 | $103.01 | $176.61 | $240.69 |
United
| Professional | 26 | $87.85 | $106.35 | $182.89 |