| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.22 | $42.51 | $71.43 | |
Aetna
| Professional | $23.21 | $23.22 | $25.54 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
BCBS
| Professional | $23.22 | $23.22 | $23.22 | |
Cigna
| Facility | $22.95 | $22.95 | $22.95 | |
Cigna
| Professional | $22.95 | $22.95 | $25.22 | |
United
| Professional | $20.87 | $23.58 | $25.14 |