| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $691.50 | $691.50 | $691.50 |
Aetna
| Professional | 26 | $75.58 | $104.21 | $116.91 |
BCBS
| Professional | 26 | $90.29 | $128.99 | $212.42 |
Cigna
| Professional | 26 | $134.36 | $219.98 | $295.17 |
United
| Professional | 26 | $105.54 | $144.31 | $192.42 |