| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $44.67 | $44.67 | |
Aetna
| Professional | $30.90 | $38.02 | $74.13 | |
BCBS
| Professional | $56.23 | $70.79 | $144.54 | |
Cigna
| Facility | $89.13 | $89.13 | $89.13 | |
Cigna
| Professional | $72.44 | $72.44 | $95.50 | |
United
| Facility | $44.67 | $44.67 | $44.67 | |
United
| Professional | $19.05 | $19.05 | $44.67 |