| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.81 | $73.90 | $175.77 | |
Aetna
| Professional | 25 | $46.40 | $87.47 | $153.44 |
BCBS
| Professional | $69.00 | $84.00 | $130.00 | |
Cigna
| Facility | $170.00 | $170.00 | $185.00 | |
Cigna
| Professional | $60.21 | $92.64 | $143.16 | |
United
| Professional | $78.67 | $128.40 | $211.61 |