| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.77 | $201.77 | $201.77 | |
Aetna
| Professional | $24.56 | $25.97 | $28.77 | |
BCBS
| Facility | $0.02 | $71.95 | $79.95 | |
BCBS
| Professional | $46.49 | $46.49 | $46.49 | |
Cigna
| Facility | $104.20 | $104.20 | $104.20 | |
Cigna
| Professional | $28.07 | $28.07 | $28.07 | |
United
| Facility | $42.11 | $42.11 | $42.11 | |
United
| Professional | $14.74 | $21.05 | $55.13 |