| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.59 | $409.54 | $2,898.00 | |
Aetna
| Professional | $24.75 | $72.98 | $164.76 | |
Aetna
| Professional | 25 | $68.75 | $68.75 | $68.75 |
Aetna
| Professional | 50 | $132.21 | $132.21 | $132.21 |
BCBS
| Facility | $1,066.00 | $2,152.57 | $4,143.39 | |
BCBS
| Professional | $25.85 | $58.14 | $135.92 | |
Cigna
| Facility | $117.30 | $141.44 | $180.69 | |
Cigna
| Professional | $25.93 | $57.05 | $136.72 | |
United
| Facility | $363.50 | $1,189.50 | $2,699.00 | |
United
| Professional | $58.43 | $84.84 | $113.09 |