| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $82.03 | $109.25 | $195.20 |
Aetna
| Professional | $133.50 | $181.27 | $404.65 | |
BCBS
| Facility | 26 | $99.98 | $99.98 | $99.98 |
BCBS
| Professional | $172.87 | $216.26 | $350.61 | |
Cigna
| Facility | 26 | $96.73 | $96.73 | $96.73 |
Cigna
| Professional | $161.21 | $252.94 | $444.75 | |
United
| Professional | $172.09 | $217.87 | $393.94 |