| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $70.79 | $125.89 | $316.23 |
Aetna
| Professional | $204.17 | $331.13 | $870.96 | |
BCBS
| Facility | 26 | $89.13 | $89.13 | $89.13 |
BCBS
| Professional | $169.82 | $263.03 | $489.78 | |
Cigna
| Facility | 26 | $19.05 | $102.33 | $257.04 |
Cigna
| Professional | $181.97 | $316.23 | $676.08 | |
United
| Professional | $173.78 | $275.42 | $512.86 |