| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.17 | $21.17 | $38.64 | |
Aetna
| Professional | $16.35 | $25.03 | $41.03 | |
BCBS
| Facility | $99.96 | $132.91 | $236.62 | |
BCBS
| Professional | $17.37 | $27.69 | $39.54 | |
Cigna
| Facility | $510.50 | $510.50 | $510.50 | |
Cigna
| Professional | $18.09 | $37.74 | $72.84 | |
United
| Professional | $28.85 | $39.75 | $60.58 |