| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $22.91 | $35.48 | $81.28 | |
BCBS
| Facility | $50.12 | $56.23 | $61.66 | |
BCBS
| Professional | $21.88 | $29.51 | $35.48 | |
Cigna
| Facility | $120.23 | $120.23 | $120.23 | |
Cigna
| Professional | $26.92 | $37.15 | $56.23 | |
United
| Professional | $24.55 | $32.36 | $44.67 |