| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.43 | $35.04 | $62.41 |
Aetna
| Professional | $99.70 | $118.21 | $192.87 | |
BCBS
| Facility | 26 | $30.06 | $30.06 | $30.06 |
BCBS
| Professional | $95.55 | $132.77 | $247.33 | |
Cigna
| Facility | 26 | $31.07 | $31.07 | $31.07 |
Cigna
| Professional | $98.54 | $147.38 | $270.31 | |
United
| Professional | $99.93 | $137.18 | $238.96 |