| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $102.33 | $186.21 | |
Aetna
| Facility | 25 | $891.25 | $891.25 | $891.25 |
Aetna
| Professional | $77.62 | $117.49 | $309.03 | |
BCBS
| Facility | $104.71 | $131.83 | $331.13 | |
BCBS
| Professional | $70.79 | $117.49 | $208.93 | |
Cigna
| Facility | $104.71 | $181.97 | $851.14 | |
Cigna
| Professional | $95.50 | $147.91 | $323.59 | |
United
| Facility | $70.79 | $85.11 | $125.89 | |
United
| Professional | $83.18 | $117.49 | $213.80 |