| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.65 | $55.65 | $88.69 | |
Aetna
| Professional | $53.11 | $63.47 | $88.69 | |
BCBS
| Facility | $76.94 | $76.94 | $76.94 | |
BCBS
| Professional | $76.94 | $76.94 | $76.94 | |
Cigna
| Facility | $73.27 | $73.27 | $73.27 | |
Cigna
| Professional | $53.49 | $53.49 | $73.27 | |
United
| Professional | $32.32 | $46.63 | $74.70 |