| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.10 | $45.93 | $50.95 | |
Aetna
| Professional | $19.82 | $45.93 | $50.95 | |
BCBS
| Facility | $37.65 | $37.65 | $37.65 | |
BCBS
| Professional | $215.00 | $215.00 | $215.00 | |
Cigna
| Facility | $16.32 | $17.14 | $19.05 | |
United
| Professional | $10.54 | $13.93 | $37.65 |