| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $107.78 | $125.00 | $208.17 |
Aetna
| Professional | 26 | $90.00 | $125.00 | $265.00 |
BCBS
| Professional | 26 | $82.80 | $102.04 | $178.28 |
Cigna
| Facility | 26 | $99.80 | $99.80 | $99.80 |
Cigna
| Professional | 26 | $89.61 | $124.90 | $209.50 |
United
| Professional | 26 | $79.73 | $107.64 | $186.36 |