| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $353.91 | $353.91 | $353.91 |
Aetna
| Professional | $108.42 | $132.19 | $152.53 | |
BCBS
| Professional | $169.55 | $214.86 | $260.79 | |
Cigna
| Professional | $125.27 | $220.96 | $297.73 | |
United
| Professional | $110.05 | $181.96 | $301.39 |