| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $167.10 | $167.10 | $167.10 |
Aetna
| Professional | $171.00 | $328.00 | $397.10 | |
BCBS
| Professional | $182.99 | $275.74 | $591.58 | |
Cigna
| Professional | $348.06 | $565.25 | $1,400.88 | |
United
| Professional | $381.72 | $496.62 | $711.23 |