| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $93.33 | $165.96 | |
Aetna
| Professional | $54.95 | $54.95 | $67.61 | |
BCBS
| Facility | $58.88 | $69.18 | $144.54 | |
BCBS
| Professional | $54.95 | $54.95 | $70.79 | |
Cigna
| Facility | $52.48 | $54.95 | $81.28 | |
Cigna
| Professional | $54.95 | $56.23 | $70.79 | |
United
| Facility | $0.05 | $21.38 | $89.13 | |
United
| Professional | $21.88 | $54.95 | $58.88 |