| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $331.13 | $398.11 | $398.11 |
Aetna
| Professional | $954.99 | $1,148.15 | $1,659.59 | |
Cigna
| Professional | $977.24 | $1,288.25 | $1,819.70 | |
United
| Professional | $954.99 | $1,288.25 | $1,905.46 |