| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $334.80 | $334.80 | $394.28 |
Aetna
| Professional | $1,034.55 | $1,157.72 | $1,606.90 | |
Cigna
| Professional | $1,015.09 | $1,273.01 | $1,833.52 | |
United
| Professional | $972.87 | $1,299.04 | $1,917.00 |