| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.14 | $23.14 | $23.56 |
Aetna
| Professional | $104.35 | $166.25 | $216.44 | |
BCBS
| Professional | $352.00 | $578.00 | $578.00 | |
Cigna
| Professional | $75.68 | $116.16 | $216.35 | |
United
| Professional | $76.06 | $226.90 | $273.22 |