| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.42 | $55.33 | $71.20 | |
BCBS
| Facility | $79.48 | $79.48 | $79.48 | |
BCBS
| Professional | $79.48 | $79.48 | $79.48 | |
Cigna
| Facility | $55.97 | $55.97 | $89.37 | |
Cigna
| Professional | $47.57 | $55.97 | $73.45 | |
United
| Professional | $27.92 | $51.07 | $105.89 |