| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.44 | $73.44 | $73.44 | |
Aetna
| Professional | 26 | $37.15 | $37.15 | $37.15 |
BCBS
| Professional | $51.00 | $62.00 | $124.00 | |
Cigna
| Professional | $75.13 | $90.14 | $121.45 | |
Cigna
| Professional | 26 | $46.97 | $53.31 | $78.34 |
United
| Professional | $84.15 | $115.94 | $215.97 | |
United
| Professional | 26 | $54.05 | $66.77 | $122.40 |