| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $108.40 | $108.40 | $110.36 |
Aetna
| Professional | 26 | $113.32 | $113.32 | $113.32 |
BCBS
| Professional | 26 | $287.00 | $287.00 | $471.00 |
Cigna
| Professional | 26 | $164.92 | $164.92 | $322.75 |
United
| Professional | 26 | $105.12 | $202.20 | $381.71 |