| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $563.55 | $563.55 | $563.55 |
Aetna
| Professional | 26 | $100.00 | $100.13 | $125.00 |
BCBS
| Professional | 26 | $75.05 | $107.21 | $183.09 |
Cigna
| Professional | 26 | $111.68 | $188.15 | $193.08 |
United
| Professional | 26 | $68.61 | $117.49 | $156.82 |