| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $49.52 | $125.00 | $125.00 |
Aetna
| Professional | 26 | $29.69 | $125.00 | $265.00 |
BCBS
| Professional | 26 | $55.33 | $66.53 | $72.94 |
Cigna
| Professional | 26 | $38.42 | $54.56 | $72.59 |
Medica
| Professional | 26 | $34.39 | $59.39 | $183.60 |
United
| Professional | 26 | $34.39 | $62.52 | $78.34 |