| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $112.40 | $137.58 | $250.00 |
Aetna
| Professional | 26 | $90.00 | $125.00 | $291.50 |
BCBS
| Professional | 26 | $96.46 | $126.01 | $207.71 |
Cigna
| Facility | 26 | $115.69 | $115.69 | $115.69 |
Cigna
| Professional | 26 | $102.27 | $150.06 | $247.44 |
United
| Professional | 26 | $92.23 | $119.44 | $218.03 |