| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.56 | $33.45 | $48.09 |
Aetna
| Professional | $61.11 | $108.13 | $173.02 | |
BCBS
| Professional | $91.55 | $126.09 | $163.53 | |
Cigna
| Professional | $59.99 | $90.21 | $151.47 | |
United
| Professional | $56.54 | $93.57 | $123.43 |