| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.59 | $21.59 | $34.40 | |
Aetna
| Professional | $20.54 | $24.62 | $34.40 | |
BCBS
| Facility | $29.85 | $29.85 | $29.85 | |
BCBS
| Professional | $29.85 | $29.85 | $29.85 | |
Cigna
| Facility | $21.38 | $21.38 | $21.38 | |
Cigna
| Professional | $15.61 | $15.61 | $21.38 | |
United
| Professional | $11.38 | $18.09 | $30.40 |