| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.42 | $40.74 | $102.33 |
Aetna
| Professional | $64.57 | $83.18 | $158.49 | |
BCBS
| Facility | 26 | $25.12 | $25.12 | $25.12 |
BCBS
| Professional | $61.66 | $91.20 | $177.83 | |
Cigna
| Facility | 26 | $5.62 | $29.51 | $70.79 |
Cigna
| Professional | $61.66 | $109.65 | $223.87 | |
United
| Professional | $64.57 | $93.33 | $181.97 |