| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $802.91 | $802.91 | $802.91 |
Aetna
| Professional | $1,015.69 | $1,015.69 | $1,215.59 | |
Cigna
| Professional | $1,059.81 | $1,303.59 | $1,650.68 | |
United
| Professional | $1,023.26 | $1,212.92 | $2,639.87 |