| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $138.22 | $138.22 | $166.90 |
Aetna
| Professional | TC | $336.22 | $442.35 | $753.98 |
BCBS
| Professional | TC | $390.74 | $496.14 | $628.66 |
Cigna
| Professional | TC | $369.02 | $465.48 | $720.16 |
United
| Professional | TC | $307.67 | $399.60 | $715.70 |