| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $56.95 | $56.95 | $58.02 |
Aetna
| Professional | $172.40 | $188.27 | $278.02 | |
Aetna
| Professional | 26 | $42.60 | $47.97 | $66.95 |
BCBS
| Professional | $575.00 | $944.00 | $944.00 | |
BCBS
| Professional | 26 | $152.00 | $250.00 | $250.00 |
Cigna
| Professional | $200.00 | $291.08 | $597.21 | |
Cigna
| Professional | 26 | $53.86 | $81.47 | $129.38 |
United
| Professional | $213.37 | $395.49 | $675.60 | |
United
| Professional | 26 | $49.27 | $112.14 | $159.51 |