| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $52.48 | $100.00 | |
BCBS
| Professional | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $22.39 | $22.39 | $22.39 | |
United
| Facility | $64.57 | $64.57 | $64.57 | |
United
| Professional | $21.38 | $23.44 | $28.84 |