| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $109.65 | $977.24 | |
Aetna
| Facility | 25 | $81.28 | $537.03 | $4,786.30 |
Aetna
| Professional | $63.10 | $107.15 | $234.42 | |
BCBS
| Facility | $100.00 | $125.89 | $316.23 | |
BCBS
| Professional | $60.26 | $104.71 | $186.21 | |
Cigna
| Facility | $125.89 | $245.47 | $707.95 | |
Cigna
| Professional | $79.43 | $128.82 | $245.47 | |
United
| Facility | $40.74 | $63.10 | $87.10 | |
United
| Professional | $77.62 | $109.65 | $194.98 |