| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.02 | $41.18 | $51.70 | |
BCBS
| Facility | $57.80 | $57.80 | $57.80 | |
BCBS
| Professional | $57.80 | $57.80 | $57.80 | |
Cigna
| Facility | $42.67 | $42.67 | $64.15 | |
Cigna
| Professional | $36.27 | $42.67 | $49.20 | |
United
| Professional | $20.18 | $35.32 | $76.13 |