| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.00 | $41.63 | $291.45 | |
Aetna
| Professional | $36.00 | $36.00 | $36.00 | |
BCBS
| Facility | $27.00 | $27.00 | $40.50 | |
BCBS
| Professional | $27.00 | $27.00 | $27.54 | |
Cigna
| Facility | $30.60 | $30.60 | $30.60 | |
Cigna
| Professional | $30.60 | $30.60 | $30.60 | |
United
| Professional | $30.00 | $30.00 | $36.00 |