| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $104.64 | $104.64 | $106.38 |
Aetna
| Professional | 26 | $104.64 | $104.64 | $110.13 |
BCBS
| Professional | 26 | $224.00 | $402.00 | $402.00 |
Cigna
| Professional | 26 | $119.20 | $158.78 | $407.31 |
United
| Professional | 26 | $102.24 | $194.40 | $374.01 |