| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.64 | $18.64 | $18.64 | |
Aetna
| Professional | $17.28 | $18.64 | $28.94 | |
BCBS
| Professional | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $18.70 | $18.70 | $22.66 | |
United
| Facility | $32.43 | $32.43 | $32.43 | |
United
| Professional | $11.51 | $28.67 | $47.54 |