| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $467.74 | $4,786.30 | |
Aetna
| Professional | $28.84 | $81.28 | $213.80 | |
Aetna
| Professional | 25 | $69.18 | $69.18 | $69.18 |
Aetna
| Professional | 50 | $131.83 | $131.83 | $131.83 |
BCBS
| Facility | $18.20 | $100.00 | $4,677.35 | |
BCBS
| Professional | $25.70 | $61.66 | $154.88 | |
Cigna
| Facility | $44.67 | $218.78 | $489.78 | |
Cigna
| Professional | $23.99 | $66.07 | $204.17 | |
United
| Facility | $288.40 | $1,122.02 | $3,548.13 | |
United
| Professional | $24.55 | $56.23 | $100.00 |