| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $65.73 | $65.73 | $66.94 |
Aetna
| Professional | 26 | $65.73 | $65.73 | $69.63 |
BCBS
| Professional | 26 | $174.00 | $174.00 | $286.00 |
Cigna
| Professional | 26 | $98.37 | $98.37 | $192.08 |
United
| Professional | 26 | $63.25 | $141.38 | $232.09 |