| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $53.70 | $53.70 | $53.70 |
Aetna
| Professional | $100.00 | $131.83 | $281.84 | |
BCBS
| Professional | $281.84 | $436.52 | $436.52 | |
Cigna
| Professional | $138.04 | $177.83 | $338.84 | |
United
| Professional | $134.90 | $213.80 | $407.38 |