| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $92.92 | $109.08 | $109.08 |
Aetna
| Professional | $548.62 | $581.28 | $655.99 | |
Cigna
| Professional | $510.41 | $754.03 | $1,271.73 | |
United
| Professional | $623.19 | $918.84 | $1,619.81 |