| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $77.62 | $77.62 | $77.62 |
Aetna
| Professional | $213.80 | $269.15 | $602.56 | |
BCBS
| Professional | $660.69 | $1,023.29 | $1,023.29 | |
Cigna
| Professional | $208.93 | $416.87 | $794.33 | |
United
| Professional | $186.21 | $489.78 | $741.31 |