| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $475.28 | $475.28 | $475.28 |
Aetna
| Professional | $683.30 | $1,427.87 | $1,427.87 | |
BCBS
| Professional | $628.25 | $860.61 | $1,015.52 | |
Cigna
| Professional | $823.06 | $1,066.03 | $2,852.49 | |
United
| Professional | $673.39 | $906.08 | $1,210.72 |