| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $40.35 | $40.35 | $40.35 |
Aetna
| Professional | $48.22 | $57.03 | $95.48 | |
Aetna
| Professional | 26 | $20.88 | $24.37 | $40.35 |
BCBS
| Professional | $41.48 | $59.26 | $69.93 | |
BCBS
| Professional | 26 | $18.07 | $25.39 | $29.96 |
Cigna
| Professional | $41.96 | $50.78 | $112.01 | |
Cigna
| Professional | 26 | $22.01 | $31.79 | $73.55 |
United
| Professional | $32.88 | $41.72 | $56.88 | |
United
| Professional | 26 | $16.68 | $21.91 | $30.97 |