| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $33.88 | $70.79 | |
Aetna
| Professional | $19.95 | $19.95 | $70.79 | |
BCBS
| Facility | $79.43 | $97.72 | $109.65 | |
BCBS
| Professional | $32.36 | $63.10 | $97.72 | |
Cigna
| Facility | $5.01 | $5.01 | $151.36 | |
Cigna
| Professional | $15.85 | $109.65 | $190.55 | |
United
| Professional | $20.89 | $54.95 | $229.09 |