| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.85 | $57.85 | $86.23 | |
Aetna
| Professional | $38.47 | $57.85 | $86.23 | |
BCBS
| Facility | $262.69 | $299.77 | $299.77 | |
BCBS
| Professional | $34.52 | $57.01 | $74.62 | |
Cigna
| Professional | $57.14 | $57.14 | $57.14 | |
United
| Professional | $62.38 | $77.72 | $111.82 |