| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.31 | $85.31 | $86.87 |
Aetna
| Professional | 26 | $85.31 | $85.31 | $90.92 |
BCBS
| Professional | 26 | $228.00 | $228.00 | $375.00 |
Cigna
| Professional | 26 | $129.55 | $129.55 | $253.64 |
United
| Professional | 26 | $82.88 | $163.07 | $301.39 |