| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.86 | $100.53 | $6,347.70 | |
Aetna
| Facility | 25 | $1,182.64 | $1,182.64 | $1,828.74 |
Aetna
| Professional | $61.44 | $100.53 | $159.00 | |
BCBS
| Facility | $167.80 | $186.44 | $236.58 | |
BCBS
| Professional | $79.06 | $125.38 | $177.35 | |
Cigna
| Professional | $73.92 | $143.58 | $205.07 | |
United
| Professional | $66.95 | $103.94 | $171.02 |