| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $81.28 | |
Aetna
| Professional | $40.74 | $52.48 | $81.28 | |
BCBS
| Facility | $72.44 | $72.44 | $72.44 | |
BCBS
| Professional | $72.44 | $72.44 | $72.44 | |
Cigna
| Facility | $53.70 | $53.70 | $53.70 | |
Cigna
| Professional | $38.90 | $38.90 | $53.70 | |
United
| Facility | $28.84 | $74.13 | $117.49 | |
United
| Professional | $28.84 | $43.65 | $66.07 |