| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $95.95 | $103.81 | $114.31 |
Aetna
| Professional | $166.88 | $242.07 | $274.95 | |
BCBS
| Professional | $198.93 | $263.30 | $263.30 | |
Cigna
| Professional | $118.00 | $315.13 | $422.57 | |
United
| Professional | $177.60 | $246.96 | $414.88 |