| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.96 | $265.25 | $448.40 | |
Aetna
| Facility | 25 | $84.96 | $99.40 | $469.05 |
Aetna
| Professional | $55.25 | $85.49 | $159.65 | |
Aetna
| Professional | 25 | $54.71 | $90.19 | $221.16 |
BCBS
| Professional | $95.00 | $117.00 | $164.00 | |
Cigna
| Facility | $170.00 | $170.00 | $185.00 | |
Cigna
| Professional | $58.44 | $95.43 | $155.41 | |
United
| Professional | $88.62 | $126.70 | $208.65 |