| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $100.00 | $158.49 | |
Aetna
| Professional | $38.02 | $67.61 | $213.80 | |
BCBS
| Facility | $60.26 | $60.26 | $60.26 | |
BCBS
| Professional | $60.26 | $60.26 | $60.26 | |
Cigna
| Facility | $67.61 | $67.61 | $100.00 | |
Cigna
| Professional | $48.98 | $48.98 | $67.61 | |
United
| Facility | $37.15 | $48.98 | $54.95 | |
United
| Professional | $44.67 | $48.98 | $74.13 |