| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.31 | $51.31 | $51.31 | |
Aetna
| Professional | $50.70 | $51.31 | $51.31 | |
BCBS
| Facility | $87.99 | $87.99 | $105.59 | |
BCBS
| Professional | $26.00 | $53.00 | $64.14 | |
Cigna
| Facility | $102.59 | $102.59 | $102.59 | |
Cigna
| Professional | $35.21 | $83.62 | $122.60 | |
United
| Professional | $21.55 | $30.33 | $72.22 |