| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $328.21 | $328.21 | $328.21 |
Aetna
| Professional | $126.71 | $209.05 | $250.90 | |
BCBS
| Professional | $155.94 | $180.41 | $348.70 | |
Cigna
| Professional | $145.77 | $263.54 | $403.67 | |
United
| Professional | $151.65 | $243.46 | $516.28 |