| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.48 | $32.40 | $56.96 |
Aetna
| Professional | $86.51 | $104.33 | $247.64 | |
BCBS
| Facility | 26 | $28.60 | $28.60 | $28.60 |
BCBS
| Professional | $104.93 | $150.45 | $390.54 | |
Cigna
| Facility | 26 | $29.00 | $29.00 | $29.00 |
Cigna
| Professional | $102.11 | $203.96 | $501.18 | |
United
| Professional | $110.18 | $164.52 | $423.86 |