| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $95.50 | $95.50 | $95.50 |
Aetna
| Professional | $309.03 | $457.09 | $724.44 | |
BCBS
| Professional | $870.96 | $1,348.96 | $2,570.40 | |
Cigna
| Professional | $407.38 | $724.44 | $1,380.38 | |
United
| Professional | $616.60 | $812.83 | $2,290.87 |