| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.09 | $41.97 | $41.97 | |
Aetna
| Professional | $31.08 | $31.09 | $34.53 | |
BCBS
| Facility | $196.57 | $459.72 | $4,496.68 | |
BCBS
| Professional | $20.41 | $20.41 | $49.80 | |
Cigna
| Facility | $20.41 | $20.41 | $20.41 | |
Cigna
| Professional | $20.41 | $20.41 | $20.41 | |
United
| Professional | $34.68 | $34.68 | $34.68 |