| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $76.57 | $100.92 | $179.82 |
Aetna
| Professional | $196.11 | $251.88 | $655.20 | |
BCBS
| Facility | 26 | $89.32 | $89.32 | $89.32 |
BCBS
| Professional | $230.61 | $288.95 | $468.82 | |
Cigna
| Facility | 26 | $90.24 | $90.24 | $90.24 |
Cigna
| Professional | $188.38 | $316.01 | $592.32 | |
United
| Professional | $202.16 | $283.99 | $505.20 |