| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.13 | $53.13 | $53.13 | |
Aetna
| Professional | 26 | $21.00 | $21.00 | $21.00 |
BCBS
| Professional | $75.00 | $92.00 | $92.00 | |
BCBS
| Professional | 26 | $30.00 | $37.00 | $37.00 |
Cigna
| Professional | $42.50 | $51.87 | $87.15 | |
Cigna
| Professional | 26 | $27.99 | $30.25 | $43.86 |
United
| Professional | $52.38 | $78.73 | $126.11 | |
United
| Professional | 26 | $31.10 | $38.42 | $71.51 |