| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.66 | $65.66 | $65.66 | |
Aetna
| Professional | $79.00 | $87.00 | $94.00 | |
BCBS
| Facility | $2.69 | $2.80 | $4.57 | |
BCBS
| Professional | $2.00 | $2.34 | $2.37 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $0.22 | $0.22 | $0.22 | |
United
| Professional | $0.97 | $0.97 | $0.97 |