| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $109.15 | $109.15 | $111.10 |
Aetna
| Professional | 26 | $109.15 | $109.15 | $116.13 |
BCBS
| Professional | 26 | $289.00 | $289.00 | $474.00 |
Cigna
| Professional | 26 | $165.75 | $165.75 | $325.50 |
United
| Professional | 26 | $106.85 | $210.79 | $390.51 |