| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.18 | $41.18 | $41.18 |
Aetna
| Professional | $169.28 | $301.77 | $301.77 | |
BCBS
| Professional | $167.62 | $239.46 | $263.41 | |
Cigna
| Professional | $190.88 | $290.66 | $1,035.10 | |
United
| Professional | $155.82 | $221.66 | $293.77 |