| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.96 | $39.96 | $39.96 | |
Aetna
| Professional | $20.30 | $39.96 | $39.96 | |
BCBS
| Professional | $38.29 | $38.29 | $38.29 | |
Cigna
| Facility | $30.59 | $30.59 | $47.28 | |
Cigna
| Professional | $22.33 | $30.59 | $41.40 | |
United
| Facility | $47.98 | $47.98 | $56.45 | |
United
| Professional | $14.08 | $23.72 | $37.97 |