| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.62 | $50.62 | $50.62 |
Aetna
| Professional | $77.31 | $101.28 | $137.07 | |
BCBS
| Professional | $88.28 | $103.86 | $132.22 | |
Cigna
| Professional | $80.01 | $111.72 | $220.54 | |
United
| Professional | $71.98 | $120.36 | $183.41 |