| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $107.15 | $107.15 | $107.15 |
Aetna
| Professional | $147.91 | $288.40 | $794.33 | |
BCBS
| Professional | $138.04 | $181.97 | $295.12 | |
Cigna
| Professional | $128.82 | $229.09 | $338.84 | |
United
| Professional | $125.89 | $181.97 | $346.74 |