| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.81 | $42.81 | $42.81 |
Aetna
| Professional | 26 | $42.81 | $63.21 | $291.50 |
BCBS
| Professional | 26 | $59.61 | $85.16 | $93.68 |
Cigna
| Professional | 26 | $69.54 | $104.94 | $540.77 |
United
| Professional | 26 | $54.20 | $69.86 | $99.13 |