| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.56 | $25.56 | $44.76 | |
BCBS
| Facility | $49.91 | $49.91 | $49.91 | |
BCBS
| Professional | $49.91 | $49.91 | $49.91 | |
Cigna
| Facility | $40.14 | $40.14 | $55.37 | |
Cigna
| Professional | $34.11 | $34.11 | $40.14 | |
United
| Professional | $20.37 | $30.05 | $34.72 |