| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $208.93 | $363.08 | |
Aetna
| Facility | 25 | $25.12 | $645.65 | $2,570.40 |
BCBS
| Facility | $229.09 | $288.40 | $724.44 | |
Cigna
| Facility | $316.23 | $630.96 | $1,819.70 | |
United
| Facility | $109.65 | $141.25 | $218.78 |