| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $134.90 | $134.90 | $134.90 |
Aetna
| Professional | $60.26 | $154.88 | $371.54 | |
BCBS
| Professional | $64.57 | $85.11 | $125.89 | |
Cigna
| Professional | $57.54 | $109.65 | $154.88 | |
United
| Professional | $66.07 | $95.50 | $154.88 |