| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.00 | $65.96 | $118.71 |
Aetna
| Professional | $123.44 | $187.55 | $272.56 | |
BCBS
| Facility | 26 | $59.31 | $59.31 | $59.31 |
BCBS
| Professional | $140.06 | $207.39 | $492.35 | |
Cigna
| Facility | 26 | $59.33 | $59.33 | $59.33 |
Cigna
| Professional | $133.30 | $271.51 | $587.09 | |
United
| Professional | $148.41 | $225.85 | $495.39 |