| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.42 | $49.03 | $49.03 | |
Aetna
| Professional | $49.03 | $49.03 | $83.29 | |
BCBS
| Facility | $111.43 | $135.22 | $181.92 | |
BCBS
| Professional | $41.42 | $49.03 | $49.03 | |
Cigna
| Facility | $49.03 | $49.03 | $49.03 | |
Cigna
| Professional | $49.03 | $49.03 | $67.80 | |
United
| Professional | $49.03 | $49.03 | $49.03 |