| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $64.57 | |
Aetna
| Professional | $34.67 | $34.67 | $34.67 | |
BCBS
| Facility | $70.79 | $70.79 | $70.79 | |
BCBS
| Professional | $11.75 | $27.54 | $40.74 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $8.71 | $39.81 | $85.11 | |
United
| Professional | $15.49 | $15.49 | $54.95 |