| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $150.91 | $164.80 | $188.65 |
Aetna
| Professional | 26 | $90.00 | $207.00 | $536.36 |
Cigna
| Professional | 26 | $131.61 | $174.09 | $227.52 |
Providence
| Professional | 26 | $131.61 | $192.74 | $227.52 |
United
| Professional | 26 | $101.49 | $104.30 | $239.27 |