| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $93.25 | $93.25 | $93.25 |
Aetna
| Professional | $189.39 | $397.04 | $397.04 | |
BCBS
| Professional | $167.22 | $229.07 | $270.30 | |
Cigna
| Professional | $217.44 | $261.99 | $699.44 | |
United
| Professional | $178.02 | $221.08 | $300.02 |