| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.18 | $28.18 | $28.18 |
Aetna
| Professional | $60.26 | $95.50 | $194.98 | |
BCBS
| Facility | 26 | $112.20 | $112.20 | $112.20 |
BCBS
| Professional | $263.03 | $407.38 | $407.38 | |
Cigna
| Professional | $64.57 | $169.82 | $302.00 | |
United
| Professional | $58.88 | $165.96 | $288.40 |