| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $61.66 | $61.66 | $61.66 |
Aetna
| Professional | $30.90 | $57.54 | $165.96 | |
Aetna
| Professional | 26 | $19.05 | $25.70 | $67.61 |
BCBS
| Professional | $44.67 | $61.66 | $66.07 | |
BCBS
| Professional | 26 | $17.78 | $21.88 | $30.90 |
Cigna
| Professional | $50.12 | $64.57 | $117.49 | |
Cigna
| Professional | 26 | $22.91 | $32.36 | $48.98 |
United
| Professional | $39.81 | $53.70 | $89.13 | |
United
| Professional | 26 | $21.88 | $26.92 | $39.81 |