| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $104.89 | $104.89 | $104.89 |
Aetna
| Professional | $274.94 | $327.37 | $483.52 | |
BCBS
| Professional | $417.89 | $491.63 | $502.71 | |
Cigna
| Professional | $456.86 | $770.46 | $869.53 | |
United
| Professional | $246.99 | $415.72 | $640.72 |