| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $525.44 | $525.44 | $525.44 |
Aetna
| Professional | 26 | $100.00 | $125.00 | $265.00 |
BCBS
| Professional | 26 | $68.79 | $98.27 | $165.25 |
Cigna
| Professional | 26 | $102.36 | $175.81 | $176.97 |
United
| Professional | 26 | $63.97 | $101.46 | $146.21 |