| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.28 | $175.80 | $276.50 | |
Aetna
| Professional | $45.22 | $45.23 | $45.23 | |
BCBS
| Facility | $45.28 | $45.28 | $45.28 | |
BCBS
| Professional | $45.28 | $45.28 | $45.28 | |
Cigna
| Facility | $175.68 | $175.68 | $175.68 | |
Cigna
| Professional | $24.70 | $52.04 | $65.05 | |
United
| Professional | $26.09 | $45.23 | $65.23 |