| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $45.75 | $50.75 | |
Aetna
| Professional | $27.50 | $27.50 | $48.00 | |
BCBS
| Facility | $33.75 | $33.75 | $33.75 | |
BCBS
| Professional | $33.75 | $33.75 | $33.75 | |
Cigna
| Facility | $16.25 | $17.05 | $18.96 | |
United
| Professional | $10.50 | $15.00 | $37.50 |