| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $25.70 | $25.70 | |
Aetna
| Professional | $14.13 | $20.89 | $28.84 | |
BCBS
| Professional | $33.88 | $36.31 | $46.77 | |
Cigna
| Facility | $53.70 | $53.70 | $53.70 | |
Cigna
| Professional | $13.49 | $18.20 | $18.20 | |
Medcost
| Professional | $23.99 | $23.99 | $23.99 | |
Medcost
| Facility | $20.42 | $30.90 | $57.54 | |
United
| Professional | $11.75 | $16.60 | $21.38 |