| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $54.36 | $69.95 | $128.18 |
Aetna
| Professional | $104.36 | $133.91 | $452.00 | |
BCBS
| Facility | 26 | $65.87 | $65.87 | $65.87 |
BCBS
| Professional | $112.07 | $139.06 | $226.39 | |
Cigna
| Facility | 26 | $64.00 | $64.00 | $64.00 |
Cigna
| Professional | $103.48 | $156.59 | $267.62 | |
United
| Professional | $112.66 | $135.47 | $236.31 |