| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.47 | $49.47 | $77.30 | |
Aetna
| Professional | $38.25 | $68.20 | $77.30 | |
BCBS
| Facility | $68.41 | $68.41 | $68.41 | |
BCBS
| Professional | $68.41 | $68.41 | $68.41 | |
Cigna
| Facility | $69.70 | $69.70 | $69.70 | |
Cigna
| Professional | $59.25 | $59.25 | $69.70 | |
United
| Professional | $26.09 | $44.04 | $60.30 |