| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $157.38 | $163.35 | $248.39 |
Aetna
| Professional | $821.39 | $924.12 | $1,389.38 | |
Cigna
| Professional | $851.11 | $1,055.22 | $1,554.05 | |
United
| Professional | $734.39 | $1,003.19 | $1,540.46 |