| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.06 | $71.30 | $100.66 | |
Aetna
| Facility | 25 | $87.65 | $87.65 | $87.65 |
Aetna
| Professional | $56.60 | $78.37 | $168.31 | |
BCBS
| Facility | $73.20 | $83.64 | $220.29 | |
BCBS
| Professional | $58.50 | $79.04 | $125.87 | |
Cigna
| Facility | $89.96 | $89.96 | $89.96 | |
Cigna
| Facility | AS | $8.72 | $8.72 | $8.72 |
Cigna
| Professional | $65.36 | $95.42 | $151.04 | |
United
| Professional | $60.49 | $81.59 | $140.09 |