| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.37 | $35.82 | $189.69 | |
Aetna
| Professional | $25.37 | $25.37 | $34.24 | |
BCBS
| Professional | $96.24 | $96.24 | $96.24 | |
Cigna
| Facility | $25.37 | $25.37 | $25.37 | |
Cigna
| Professional | $25.37 | $25.37 | $75.70 | |
United
| Professional | $25.37 | $25.37 | $25.37 |