| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.64 | $79.64 | $81.14 |
Aetna
| Professional | 26 | $79.64 | $79.64 | $85.44 |
BCBS
| Professional | 26 | $212.00 | $212.00 | $348.00 |
Cigna
| Professional | 26 | $122.07 | $122.07 | $241.79 |
United
| Professional | 26 | $82.31 | $152.52 | $303.60 |