| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.19 | $64.19 | $64.19 | |
Aetna
| Professional | $64.19 | $64.19 | $64.19 | |
BCBS
| Facility | $67.86 | $67.86 | $81.44 | |
BCBS
| Professional | $80.23 | $99.00 | $205.00 | |
Cigna
| Facility | $128.41 | $128.41 | $128.41 | |
Cigna
| Professional | $24.29 | $73.51 | $91.89 | |
United
| Professional | $22.85 | $26.96 | $54.40 |