| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.78 | $186.21 | $616.60 | |
Aetna
| Facility | 25 | $125.89 | $309.03 | $851.14 |
BCBS
| Facility | $354.81 | $2,089.30 | $2,818.38 | |
Cigna
| Facility | $17.78 | $33.11 | $588.84 | |
United
| Facility | $12.59 | $229.09 | $446.68 |