| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $56.23 | $56.23 | $72.44 |
Aetna
| Professional | $56.23 | $64.57 | $77.62 | |
Aetna
| Professional | 26 | $38.02 | $44.67 | $56.23 |
BCBS
| Professional | $60.26 | $60.26 | $79.43 | |
BCBS
| Professional | 26 | $43.65 | $43.65 | $57.54 |
Cigna
| Professional | $60.26 | $91.20 | $128.82 | |
Cigna
| Professional | 26 | $43.65 | $66.07 | $91.20 |
United
| Professional | $53.70 | $70.79 | $109.65 | |
United
| Professional | 26 | $38.02 | $51.29 | $81.28 |