| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.20 | $32.01 | $147.86 | |
BCBS
| Facility | $37.70 | $37.70 | $37.70 | |
BCBS
| Professional | $37.70 | $37.70 | $37.70 | |
Cigna
| Facility | $33.33 | $33.33 | $50.52 | |
Cigna
| Professional | $28.33 | $33.33 | $43.75 | |
United
| Professional | $16.05 | $26.05 | $60.20 |