| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $116.90 | $210.42 | $250.50 |
Aetna
| Professional | 26 | $90.00 | $200.00 | $330.75 |
Ambetter
| Professional | 26 | $262.80 | $262.80 | $262.80 |
Cigna
| Professional | 26 | $116.78 | $196.69 | $271.52 |
United
| Professional | 26 | $98.22 | $127.16 | $206.91 |