| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.95 | $31.95 | $50.92 | |
Aetna
| Professional | $30.42 | $36.44 | $50.92 | |
BCBS
| Facility | $44.18 | $44.18 | $44.18 | |
BCBS
| Professional | $44.18 | $44.18 | $44.18 | |
Cigna
| Facility | $31.65 | $31.65 | $31.65 | |
Cigna
| Professional | $23.10 | $23.10 | $31.65 | |
United
| Facility | $17.11 | $25.04 | $25.04 | |
United
| Professional | $16.85 | $26.77 | $42.46 |