| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $91.20 | $91.20 | $91.20 |
Aetna
| Professional | $194.98 | $269.15 | $407.38 | |
BCBS
| Professional | $194.98 | $275.42 | $323.59 | |
Cigna
| Professional | $288.40 | $407.38 | $954.99 | |
United
| Professional | $218.78 | $281.84 | $478.63 |