| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.22 | $32.59 | $61.91 |
Aetna
| Professional | $100.16 | $124.22 | $221.33 | |
BCBS
| Facility | 26 | $30.33 | $30.33 | $30.33 |
BCBS
| Professional | $95.25 | $132.32 | $260.72 | |
Cigna
| Facility | 26 | $30.72 | $30.72 | $30.72 |
Cigna
| Professional | $97.34 | $147.19 | $273.33 | |
United
| Professional | $95.99 | $134.90 | $242.54 |