| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.07 | $56.59 | $56.59 | |
Aetna
| Professional | 26 | $20.53 | $22.73 | $22.73 |
BCBS
| Professional | $76.00 | $94.00 | $94.00 | |
BCBS
| Professional | 26 | $31.00 | $38.00 | $38.00 |
Cigna
| Professional | $43.68 | $53.86 | $90.36 | |
Cigna
| Professional | 26 | $27.44 | $32.76 | $47.44 |
United
| Professional | $52.93 | $81.59 | $157.06 | |
United
| Professional | 26 | $29.70 | $40.92 | $76.23 |