| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.44 | $85.13 | $106.45 | |
Aetna
| Professional | $68.79 | $79.02 | $85.89 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $85.87 | $87.55 | $95.16 | |
Cigna
| Facility | $56.50 | $56.50 | $56.50 | |
Cigna
| Professional | $41.25 | $56.50 | $56.50 | |
United
| Professional | $52.11 | $75.00 | $126.73 |