| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $123.95 | $135.38 | $227.90 |
Aetna
| Professional | TC | $364.10 | $425.88 | $753.98 |
Cigna
| Professional | TC | $348.25 | $480.44 | $641.85 |
United
| Professional | TC | $327.16 | $396.63 | $612.91 |