| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.52 | $390.52 | $570.00 | |
Aetna
| Facility | 25 | $106.65 | $760.95 | $941.63 |
Aetna
| Professional | $31.77 | $41.31 | $152.10 | |
BCBS
| Professional | $74.00 | $74.00 | $74.00 | |
Cigna
| Professional | $39.61 | $60.93 | $87.10 | |
United
| Professional | $62.73 | $77.34 | $123.21 |