| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $169.82 | $371.54 | |
Aetna
| Professional | 26 | $61.66 | $75.86 | $208.93 |
BCBS
| Professional | $134.90 | $177.83 | $302.00 | |
BCBS
| Professional | 26 | $53.70 | $75.86 | $125.89 |
Cigna
| Professional | $154.88 | $239.88 | $363.08 | |
Cigna
| Professional | 26 | $69.18 | $100.00 | $154.88 |
United
| Professional | $141.25 | $190.55 | $331.13 | |
United
| Professional | 26 | $64.57 | $85.11 | $141.25 |