| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.42 | $48.42 | $48.42 | |
Aetna
| Professional | $48.42 | $48.42 | $49.03 | |
BCBS
| Professional | $48.49 | $57.05 | $57.05 | |
Cigna
| Facility | $46.26 | $46.26 | $46.26 | |
Cigna
| Professional | $49.03 | $49.03 | $69.39 | |
United
| Professional | $49.03 | $49.03 | $49.03 |