| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.78 | $165.37 | $229.69 | |
Aetna
| Professional | 26 | $61.35 | $69.56 | $94.51 |
BCBS
| Professional | $151.79 | $178.58 | $247.30 | |
BCBS
| Professional | 26 | $53.19 | $75.98 | $75.98 |
Cigna
| Professional | $156.47 | $240.52 | $359.19 | |
Cigna
| Professional | 26 | $69.98 | $101.15 | $155.82 |
United
| Professional | $138.04 | $177.29 | $265.27 | |
United
| Professional | 26 | $62.81 | $81.28 | $118.22 |