| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.26 | $52.26 | $52.26 | |
Aetna
| Professional | $16.07 | $16.07 | $16.72 | |
BCBS
| Facility | $15.58 | $15.58 | $66.77 | |
BCBS
| Professional | $16.07 | $16.07 | $16.07 | |
Cigna
| Facility | $15.17 | $16.07 | $16.07 | |
Cigna
| Professional | $16.07 | $16.07 | $16.07 | |
United
| Professional | $12.74 | $16.07 | $16.07 |