| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $188.03 | $188.03 | $188.03 |
Aetna
| Professional | 26 | $100.00 | $125.00 | $265.00 |
BCBS
| Professional | 26 | $23.93 | $34.19 | $56.47 |
Cigna
| Professional | 26 | $35.61 | $59.49 | $62.92 |
United
| Professional | 26 | $22.89 | $34.78 | $52.32 |