| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $102.54 | $176.54 | $225.17 |
Aetna
| Professional | 26 | $102.54 | $102.84 | $225.17 |
Cigna
| Professional | 26 | $92.17 | $175.69 | $232.24 |
United
| Professional | 26 | $94.38 | $125.12 | $264.70 |