| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.88 | $55.88 | $55.88 |
Aetna
| Professional | 26 | $55.88 | $55.88 | $91.36 |
BCBS
| Professional | 26 | $76.16 | $108.80 | $119.68 |
Cigna
| Professional | 26 | $91.21 | $136.33 | $531.70 |
United
| Professional | 26 | $70.09 | $91.59 | $128.36 |