| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.15 | $57.15 | $57.15 |
Aetna
| Professional | $56.07 | $65.16 | $88.87 | |
Aetna
| Professional | 26 | $38.90 | $45.12 | $62.23 |
BCBS
| Professional | $65.98 | $77.62 | $116.21 | |
BCBS
| Professional | 26 | $37.15 | $53.09 | $53.09 |
Cigna
| Professional | $70.28 | $117.87 | $148.22 | |
Cigna
| Professional | 26 | $49.73 | $80.40 | $101.09 |
United
| Professional | $63.94 | $77.39 | $107.68 | |
United
| Professional | 26 | $45.25 | $57.16 | $76.20 |