| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.70 | $43.70 | $43.70 | |
Aetna
| Professional | $24.97 | $41.58 | $55.44 | |
BCBS
| Facility | $80.65 | $90.14 | $104.16 | |
BCBS
| Professional | $31.74 | $45.34 | $77.88 | |
Cigna
| Professional | $68.45 | $68.45 | $144.43 | |
United
| Professional | $31.84 | $44.75 | $69.11 |