| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $110.70 | $110.70 | $117.78 |
Aetna
| Professional | TC | $342.31 | $394.13 | $462.71 |
Anthem BCBS
| Professional | TC | $257.58 | $356.18 | $505.77 |
Cigna
| Professional | TC | $372.07 | $470.16 | $746.10 |
United
| Professional | TC | $323.63 | $408.65 | $648.77 |