| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.58 | $16.07 | $16.07 | |
Aetna
| Professional | $16.07 | $16.07 | $26.81 | |
BCBS
| Facility | $212.41 | $257.77 | $346.78 | |
BCBS
| Professional | $16.07 | $16.07 | $58.13 | |
Cigna
| Facility | $16.07 | $16.07 | $16.07 | |
Cigna
| Professional | $6.52 | $16.07 | $16.07 | |
United
| Professional | $16.07 | $16.07 | $16.07 |