| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.55 | $87.10 | $165.96 | |
Aetna
| Professional | $23.99 | $28.18 | $38.02 | |
BCBS
| Professional | $35.48 | $37.15 | $48.98 | |
Cigna
| Facility | $22.91 | $89.13 | $199.53 | |
Medcost
| Facility | $26.30 | $31.62 | $60.26 | |
United
| Facility | $31.62 | $35.48 | $41.69 | |
United
| Professional | $14.79 | $20.89 | $35.48 |