| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $66.07 | $87.10 | |
Aetna
| Professional | 26 | $38.02 | $45.71 | $61.66 |
BCBS
| Professional | $42.66 | $60.26 | $72.44 | |
BCBS
| Professional | 26 | $31.62 | $42.66 | $51.29 |
Cigna
| Facility | 26 | $10.72 | $50.12 | $72.44 |
Cigna
| Professional | $60.26 | $72.44 | $120.23 | |
Cigna
| Professional | 26 | $42.66 | $52.48 | $81.28 |
United
| Professional | $45.71 | $63.10 | $97.72 | |
United
| Professional | 26 | $32.36 | $45.71 | $70.79 |