| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $173.08 | $173.08 | $173.08 |
Aetna
| Professional | $59.67 | $66.02 | $355.00 | |
BCBS
| Professional | $73.09 | $85.99 | $118.92 | |
Cigna
| Professional | $63.21 | $106.58 | $149.65 | |
United
| Professional | $64.98 | $93.34 | $131.07 |