| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $433.49 | $433.49 | $433.49 |
Aetna
| Professional | 26 | $100.00 | $125.00 | $265.00 |
BCBS
| Professional | 26 | $56.76 | $81.08 | $133.13 |
Cigna
| Professional | 26 | $84.47 | $140.44 | $145.05 |
United
| Professional | 26 | $52.77 | $66.55 | $120.63 |