| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $112.12 | $112.12 | $112.12 |
Aetna
| Professional | $573.67 | $839.09 | $839.09 | |
BCBS
| Professional | $461.36 | $659.08 | $724.99 | |
Cigna
| Professional | $635.77 | $892.87 | $1,179.72 | |
United
| Professional | $514.09 | $659.08 | $963.98 |