| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.20 | $37.20 | $58.17 | |
BCBS
| Facility | $64.87 | $64.87 | $64.87 | |
BCBS
| Professional | $64.87 | $64.87 | $64.87 | |
Cigna
| Facility | $48.99 | $48.99 | $66.55 | |
Cigna
| Professional | $35.76 | $35.76 | $48.99 | |
United
| Professional | $27.28 | $30.19 | $33.51 |