| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $141.11 | $141.11 | $141.11 |
Aetna
| Professional | $31.48 | $43.53 | $61.89 | |
Aetna
| Professional | 26 | $19.55 | $21.86 | $31.94 |
BCBS
| Professional | $52.46 | $61.72 | $62.92 | |
BCBS
| Professional | 26 | $17.84 | $25.49 | $25.49 |
Cigna
| Professional | $40.57 | $77.75 | $114.89 | |
Cigna
| Professional | 26 | $25.58 | $32.42 | $47.21 |
United
| Professional | $37.86 | $51.02 | $81.63 | |
United
| Professional | 26 | $19.29 | $25.77 | $38.33 |