| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.13 | $75.05 | $142.00 |
Aetna
| Professional | $111.36 | $138.53 | $216.24 | |
BCBS
| Facility | 26 | $56.17 | $56.17 | $56.17 |
BCBS
| Professional | $119.07 | $159.90 | $273.20 | |
Cigna
| Facility | 26 | $78.58 | $78.58 | $78.58 |
Cigna
| Professional | $115.64 | $177.85 | $299.50 | |
United
| Professional | $118.35 | $154.18 | $256.77 |