| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $149.53 | $163.28 | $186.91 |
Aetna
| Professional | 26 | $90.00 | $265.00 | $646.00 |
Cigna
| Professional | 26 | $128.69 | $171.24 | $225.40 |
Providence
| Professional | 26 | $128.69 | $189.59 | $225.40 |
United
| Professional | 26 | $100.67 | $105.12 | $237.16 |