| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.16 | $69.50 | $120.28 | |
Aetna
| Professional | $55.16 | $55.71 | $66.73 | |
BCBS
| Facility | $60.12 | $87.56 | $167.97 | |
BCBS
| Professional | $55.16 | $55.16 | $55.16 | |
Cigna
| Facility | $52.04 | $55.16 | $55.16 | |
Cigna
| Professional | $54.60 | $55.16 | $55.16 | |
United
| Facility | $65.38 | $88.42 | $88.42 | |
United
| Professional | $22.06 | $55.16 | $58.47 |