| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.72 | $23.09 | $140.38 | |
Aetna
| Professional | $23.09 | $23.09 | $23.68 | |
BCBS
| Facility | $202.48 | $202.48 | $216.39 | |
BCBS
| Professional | $29.60 | $29.60 | $40.47 | |
Cigna
| Facility | $53.80 | $72.92 | $168.77 | |
Cigna
| Professional | $19.23 | $19.23 | $19.23 | |
Medcost
| Facility | $23.09 | $32.89 | $35.82 | |
United
| Professional | $12.43 | $17.76 | $29.60 |