| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $81.06 | $81.06 | $171.50 |
Aetna
| Professional | 26 | $81.06 | $113.72 | $163.46 |
Cigna
| Professional | 26 | $127.01 | $166.53 | $218.51 |
Providence
| Professional | 26 | $136.79 | $166.53 | $218.51 |
United
| Professional | 26 | $98.25 | $102.39 | $228.01 |