| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $54.17 | $54.17 | $54.17 |
Aetna
| Professional | $49.96 | $62.47 | $77.31 | |
Aetna
| Professional | 26 | $35.38 | $43.93 | $56.38 |
BCBS
| Professional | $44.48 | $60.93 | $72.54 | |
BCBS
| Professional | 26 | $31.27 | $42.83 | $51.23 |
Cigna
| Professional | $60.34 | $72.33 | $102.84 | |
Cigna
| Professional | 26 | $42.26 | $52.96 | $69.98 |
United
| Professional | $45.47 | $61.71 | $102.80 | |
United
| Professional | 26 | $32.33 | $44.42 | $69.29 |