| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.98 | $17.98 | $42.36 | |
BCBS
| Facility | $47.25 | $47.25 | $47.25 | |
BCBS
| Professional | $47.25 | $47.25 | $47.25 | |
Cigna
| Facility | $29.06 | $29.06 | $53.22 | |
Cigna
| Professional | $24.70 | $24.70 | $29.06 | |
United
| Professional | $18.54 | $20.51 | $22.77 |