| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.45 | $39.45 | $40.38 | |
Aetna
| Professional | $39.45 | $39.45 | $69.47 | |
BCBS
| Professional | $82.64 | $82.64 | $82.64 | |
Cigna
| Facility | $39.45 | $39.45 | $39.45 | |
Cigna
| Professional | $39.45 | $39.45 | $123.83 | |
United
| Professional | $39.45 | $39.45 | $39.45 |