| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $536.41 | $536.41 | $536.41 |
Aetna
| Professional | $133.50 | $161.32 | $877.45 | |
BCBS
| Facility | 26 | $164.90 | $164.90 | $183.22 |
BCBS
| Professional | $201.22 | $236.73 | $343.91 | |
Cigna
| Professional | $169.98 | $286.61 | $405.21 | |
United
| Professional | $147.74 | $237.19 | $366.61 |