| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $86.93 | $86.93 | $88.47 |
Aetna
| Professional | 26 | $86.93 | $86.93 | $91.32 |
BCBS
| Professional | 26 | $230.00 | $230.00 | $377.00 |
Cigna
| Professional | 26 | $135.22 | $135.22 | $264.14 |
United
| Professional | 26 | $86.64 | $163.69 | $313.51 |