| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.56 | $27.37 | $166.41 | |
Aetna
| Professional | $27.37 | $27.37 | $28.07 | |
BCBS
| Professional | $35.09 | $35.09 | $47.99 | |
Cigna
| Facility | $63.78 | $86.45 | $200.09 | |
Medcost
| Facility | $27.37 | $35.09 | $44.21 | |
United
| Facility | $31.58 | $31.58 | $42.11 | |
United
| Professional | $14.74 | $17.55 | $31.95 |