| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $114.82 | $114.82 | $114.82 |
Aetna
| Professional | $67.61 | $83.18 | $213.80 | |
BCBS
| Professional | $75.86 | $102.33 | $213.80 | |
Cigna
| Professional | $74.13 | $125.89 | $213.80 | |
United
| Professional | $53.70 | $100.00 | $154.88 |