| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.64 | $65.01 | $121.41 |
Aetna
| Professional | $101.47 | $124.50 | $243.91 | |
BCBS
| Facility | 26 | $60.04 | $60.04 | $60.04 |
BCBS
| Professional | $120.35 | $173.01 | $457.89 | |
Cigna
| Facility | 26 | $60.76 | $60.76 | $60.76 |
Cigna
| Professional | $113.17 | $231.58 | $567.49 | |
United
| Professional | $125.83 | $191.17 | $472.89 |