| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $281.84 | $281.84 | $281.84 |
Aetna
| Professional | $93.33 | $123.03 | $478.63 | |
BCBS
| Professional | $97.72 | $138.04 | $194.98 | |
Cigna
| Professional | $95.50 | $204.17 | $257.04 | |
United
| Professional | $109.65 | $154.88 | $204.17 |