| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $436.52 | $436.52 | $436.52 |
Aetna
| Professional | $190.55 | $363.08 | $724.44 | |
Aetna
| Professional | 26 | $79.43 | $138.04 | $281.84 |
BCBS
| Professional | $288.40 | $389.05 | $676.08 | |
BCBS
| Professional | 26 | $85.11 | $109.65 | $177.83 |
Cigna
| Professional | $263.03 | $616.60 | $891.25 | |
Cigna
| Professional | 26 | $72.44 | $158.49 | $186.21 |
United
| Professional | $331.13 | $436.52 | $676.08 | |
United
| Professional | 26 | $79.43 | $102.33 | $165.96 |