| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $719.84 | $719.84 | $719.84 |
Aetna
| Professional | 26 | $100.00 | $125.00 | $265.00 |
BCBS
| Professional | 26 | $93.59 | $133.69 | $222.11 |
Cigna
| Professional | 26 | $139.27 | $235.92 | $240.86 |
United
| Professional | 26 | $87.63 | $121.62 | $200.31 |