| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $164.22 | $164.22 | $164.22 |
Aetna
| Professional | $94.70 | $99.25 | $182.22 | |
BCBS
| Professional | $114.72 | $131.99 | $254.46 | |
Cigna
| Professional | $105.63 | $192.18 | $296.77 | |
United
| Professional | $75.72 | $181.85 | $537.50 |