| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.26 | $55.26 | $88.08 | |
Aetna
| Professional | $51.87 | $63.04 | $88.08 | |
BCBS
| Facility | $76.42 | $76.42 | $76.42 | |
BCBS
| Professional | $76.42 | $76.42 | $76.42 | |
Cigna
| Facility | $66.58 | $66.58 | $66.58 | |
Cigna
| Professional | $48.60 | $48.60 | $66.58 | |
United
| Professional | $29.14 | $46.82 | $77.80 |