| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $542.40 | $542.40 | $754.64 |
Aetna
| Professional | $258.08 | $387.95 | $469.14 | |
Aetna
| Professional | 26 | $66.54 | $82.76 | $128.65 |
BCBS
| Professional | $314.22 | $388.96 | $733.73 | |
BCBS
| Professional | 26 | $84.85 | $121.21 | $167.64 |
Cigna
| Professional | $297.08 | $628.90 | $684.56 | |
Cigna
| Professional | 26 | $78.39 | $162.58 | $181.50 |
United
| Professional | $347.30 | $443.62 | $707.06 | |
United
| Professional | 26 | $82.00 | $113.65 | $164.20 |