| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $561.49 | $561.49 | $561.49 |
Aetna
| Professional | 26 | $100.00 | $100.00 | $125.00 |
BCBS
| Professional | 26 | $73.67 | $105.24 | $174.13 |
Cigna
| Professional | 26 | $109.62 | $185.47 | $187.89 |
United
| Professional | 26 | $68.36 | $86.40 | $156.24 |