| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.62 | $18.62 | $18.62 | |
Aetna
| Professional | $18.62 | $18.62 | $20.48 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
BCBS
| Professional | $17.69 | $17.69 | $17.69 | |
Cigna
| Facility | $17.52 | $17.52 | $17.52 | |
Cigna
| Professional | $17.52 | $17.52 | $25.51 | |
United
| Professional | $18.62 | $18.62 | $21.04 |