| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $121.56 | $142.69 | $266.25 |
Aetna
| Professional | 26 | $96.88 | $102.84 | $103.60 |
Cigna
| Professional | 26 | $84.43 | $120.13 | $153.10 |
United
| Professional | 26 | $98.31 | $137.16 | $255.43 |