| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.43 | $79.43 | $120.23 |
Aetna
| Professional | $154.88 | $199.53 | $288.40 | |
BCBS
| Professional | $199.53 | $223.87 | $288.40 | |
Cigna
| Professional | $218.78 | $269.15 | $407.38 | |
United
| Professional | $173.78 | $223.87 | $407.38 |