| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.67 | $21.67 | $49.00 | |
BCBS
| Facility | $37.58 | $37.58 | $37.58 | |
BCBS
| Professional | $37.58 | $37.58 | $37.58 | |
Cigna
| Facility | $52.17 | $52.17 | $83.83 | |
Cigna
| Professional | $44.34 | $44.34 | $52.17 | |
United
| Professional | $39.40 | $41.86 | $46.48 |