| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.88 | $70.79 | $83.18 | |
Aetna
| Professional | 26 | $39.81 | $47.86 | $57.54 |
BCBS
| Professional | $93.33 | $114.82 | $114.82 | |
BCBS
| Professional | 26 | $64.57 | $79.43 | $79.43 |
Cigna
| Professional | $83.18 | $109.65 | $144.54 | |
Cigna
| Professional | 26 | $60.26 | $75.86 | $104.71 |
United
| Professional | $81.28 | $117.49 | $208.93 | |
United
| Professional | 26 | $57.54 | $83.18 | $147.91 |