| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $33.88 | $446.68 | |
Aetna
| Professional | $30.90 | $33.88 | $38.90 | |
BCBS
| Facility | $33.88 | $42.66 | $107.15 | |
BCBS
| Professional | $17.78 | $22.91 | $36.31 | |
Cigna
| Facility | $69.18 | $69.18 | $165.96 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
United
| Professional | $19.95 | $38.02 | $83.18 |