| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $642.74 | $642.74 | $642.74 |
Aetna
| Professional | 26 | $100.00 | $103.49 | $125.00 |
BCBS
| Professional | 26 | $83.62 | $119.46 | $201.65 |
Cigna
| Professional | 26 | $124.44 | $213.51 | $215.06 |
United
| Professional | 26 | $78.25 | $99.08 | $178.85 |