| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.82 | $87.82 | $87.82 | |
Aetna
| Professional | $21.62 | $21.62 | $22.97 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $22.97 | $22.97 | $22.97 | |
Cigna
| Professional | $22.97 | $22.97 | $22.97 | |
United
| Professional | $22.52 | $22.52 | $36.22 |