| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.86 | $33.86 | $243.67 | |
Aetna
| Professional | $29.52 | $30.18 | $30.71 | |
BCBS
| Facility | $58.06 | $58.06 | $69.68 | |
BCBS
| Professional | $42.33 | $52.00 | $108.00 | |
Cigna
| Facility | $67.69 | $67.69 | $67.69 | |
Cigna
| Professional | $20.80 | $39.24 | $49.04 | |
United
| Professional | $14.22 | $19.55 | $47.31 |