| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $56.24 | $56.24 | $56.24 |
Aetna
| Professional | 26 | $56.24 | $56.24 | $92.13 |
BCBS
| Professional | 26 | $66.09 | $94.42 | $103.86 |
Cigna
| Professional | 26 | $95.11 | $140.94 | $554.85 |
United
| Professional | 26 | $69.55 | $89.39 | $133.94 |