| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $169.82 | $316.23 | |
Aetna
| Professional | 26 | $63.10 | $72.44 | $154.88 |
BCBS
| Professional | $223.87 | $275.42 | $275.42 | |
BCBS
| Professional | 26 | $97.72 | $120.23 | $120.23 |
Cigna
| Professional | $162.18 | $234.42 | $501.19 | |
Cigna
| Professional | 26 | $69.18 | $97.72 | $213.80 |
United
| Professional | $158.49 | $251.19 | $478.63 | |
United
| Professional | 26 | $70.79 | $112.20 | $213.80 |