| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.50 | $24.50 | $24.51 | |
Aetna
| Professional | $24.50 | $24.73 | $27.21 | |
BCBS
| Facility | $111.43 | $135.22 | $181.92 | |
BCBS
| Professional | $24.50 | $24.50 | $24.50 | |
Cigna
| Facility | $24.50 | $24.50 | $24.50 | |
Cigna
| Professional | $7.26 | $24.50 | $24.50 | |
United
| Professional | $24.50 | $24.50 | $24.50 |