| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $158.49 | $158.49 | $158.49 |
Aetna
| Professional | $158.49 | $223.87 | $660.69 | |
BCBS
| Professional | $173.78 | $204.17 | $371.54 | |
Cigna
| Professional | $288.40 | $398.11 | $549.54 | |
United
| Professional | $144.54 | $194.98 | $338.84 |