| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.70 | $28.84 | $38.02 |
Aetna
| Professional | $141.25 | $229.09 | $295.12 | |
BCBS
| Professional | $199.53 | $275.42 | $275.42 | |
Cigna
| Professional | $128.82 | $204.17 | $354.81 | |
United
| Professional | $100.00 | $204.17 | $275.42 |