| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.15 | $37.15 | $37.15 |
Aetna
| Professional | $81.28 | $100.00 | $173.78 | |
BCBS
| Professional | $245.47 | $380.19 | $380.19 | |
Cigna
| Professional | $81.28 | $151.36 | $239.88 | |
United
| Professional | $95.50 | $141.25 | $302.00 |