| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $124.50 | $124.50 | $124.50 |
Aetna
| Professional | $275.52 | $578.07 | $578.07 | |
BCBS
| Professional | $246.48 | $337.65 | $398.43 | |
Cigna
| Professional | $331.11 | $408.82 | $1,093.08 | |
United
| Professional | $275.00 | $352.39 | $467.66 |