| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.57 | $19.57 | $119.05 | |
Aetna
| Professional | $18.82 | $19.57 | $23.67 | |
BCBS
| Professional | $25.10 | $25.10 | $34.32 | |
Cigna
| Facility | $45.63 | $61.85 | $143.16 | |
Cigna
| Professional | $30.12 | $30.12 | $30.12 | |
Medcost
| Facility | $19.57 | $26.22 | $27.85 | |
United
| Professional | $10.54 | $13.93 | $16.71 |