| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $69.98 | $69.98 | $69.98 |
Aetna
| Professional | $108.18 | $180.38 | $209.05 | |
BCBS
| Professional | $107.76 | $147.61 | $174.18 | |
Cigna
| Facility | 26 | $64.44 | $64.44 | $65.00 |
Cigna
| Professional | $112.16 | $196.59 | $501.40 | |
United
| Professional | $118.10 | $153.38 | $477.05 |