| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $125.89 | $281.84 | |
Aetna
| Facility | 25 | $138.04 | $891.25 | $2,238.72 |
BCBS
| Facility | $141.25 | $177.83 | $446.68 | |
Cigna
| Facility | $138.04 | $199.53 | $707.95 | |
United
| Facility | $93.33 | $107.15 | $134.90 |