| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $281.84 | $281.84 | $281.84 |
Aetna
| Professional | $104.71 | $239.88 | $758.58 | |
BCBS
| Professional | $107.15 | $141.25 | $257.04 | |
Cigna
| Professional | $109.65 | $165.96 | $257.04 | |
United
| Professional | $107.15 | $141.25 | $229.09 |