| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.55 | $51.29 | $125.89 |
Aetna
| Professional | $87.10 | $120.23 | $251.19 | |
BCBS
| Facility | 26 | $30.20 | $30.20 | $30.20 |
BCBS
| Professional | $91.20 | $128.82 | $251.19 | |
Cigna
| Facility | 26 | $6.61 | $35.48 | $87.10 |
Cigna
| Professional | $93.33 | $151.36 | $316.23 | |
United
| Professional | $93.33 | $128.82 | $245.47 |