| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $115.58 | $208.04 | $247.66 |
Aetna
| Professional | 26 | $90.00 | $167.31 | $291.50 |
Ambetter
| Professional | 26 | $112.57 | $260.58 | $260.58 |
Cigna
| Professional | 26 | $115.25 | $194.68 | $268.99 |
United
| Professional | 26 | $97.24 | $120.78 | $202.36 |