| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $120.19 | $146.62 | $180.00 |
Aetna
| Professional | 26 | $118.75 | $180.00 | $180.00 |
BCBS
| Professional | 26 | $101.64 | $116.59 | $149.47 |
Cigna
| Professional | 26 | $87.05 | $130.94 | $149.75 |
United
| Professional | 26 | $76.81 | $97.77 | $170.48 |