| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.72 | $23.72 | $23.72 |
Aetna
| Professional | $73.34 | $84.86 | $112.62 | |
BCBS
| Professional | $63.90 | $87.54 | $103.30 | |
Cigna
| Professional | $42.54 | $87.96 | $318.08 | |
United
| Professional | $41.78 | $76.68 | $110.87 |