| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.99 | $51.99 | $91.04 | |
BCBS
| Facility | $101.53 | $101.53 | $101.53 | |
BCBS
| Professional | $101.53 | $101.53 | $101.53 | |
Cigna
| Facility | $48.73 | $48.73 | $94.63 | |
Cigna
| Professional | $35.57 | $35.57 | $48.73 | |
United
| Professional | $35.15 | $51.87 | $59.95 |