| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.91 | $13.91 | $85.50 | |
Aetna
| Professional | $13.91 | $13.91 | $13.91 | |
BCBS
| Facility | $20.55 | $20.55 | $24.66 | |
BCBS
| Professional | $17.39 | $22.00 | $45.00 | |
Cigna
| Facility | $27.91 | $27.91 | $27.91 | |
Cigna
| Professional | $8.17 | $16.11 | $20.13 | |
United
| Professional | $5.84 | $6.93 | $16.76 |