| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $114.82 | $199.53 | $380.19 |
Aetna
| Professional | 26 | $100.00 | $199.53 | $380.19 |
Ambetter
| Professional | 26 | $85.11 | $107.15 | $269.15 |
Cigna
| Professional | 26 | $117.49 | $194.98 | $269.15 |
United
| Professional | 26 | $97.72 | $123.03 | $208.93 |