| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.66 | $58.27 | $96.39 | |
Aetna
| Professional | $19.20 | $24.30 | $33.52 | |
Aetna
| Professional | 50 | $80.26 | $80.26 | $80.26 |
BCBS
| Facility | $34.65 | $48.05 | $48.05 | |
BCBS
| Professional | $20.44 | $25.71 | $42.59 | |
BCBS
| Professional | 50 | $32.10 | $38.82 | $57.97 |
Cigna
| Facility | $36.09 | $36.09 | $36.09 | |
Cigna
| Professional | $18.37 | $27.58 | $46.37 | |
United
| Professional | $20.48 | $25.47 | $41.17 |