| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $123.97 | $123.97 | $123.97 |
Aetna
| Professional | $114.80 | $238.44 | $238.44 | |
BCBS
| Professional | $104.02 | $142.49 | $168.14 | |
Cigna
| Professional | $136.63 | $173.10 | $473.71 | |
United
| Professional | $111.44 | $150.63 | $192.79 |