| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.81 | $48.81 | $48.81 | |
Aetna
| Professional | $24.96 | $46.43 | $52.91 | |
BCBS
| Facility | $110.61 | $121.48 | $125.27 | |
BCBS
| Professional | $27.40 | $53.34 | $72.83 | |
Cigna
| Facility | $70.70 | $70.70 | $70.70 | |
Cigna
| Professional | $26.22 | $26.22 | $26.22 | |
United
| Professional | $22.92 | $27.44 | $41.05 |