| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.58 | $113.99 | $144.92 | |
Aetna
| Facility | 25 | $90.20 | $90.20 | $90.20 |
Aetna
| Professional | $97.58 | $119.76 | $157.32 | |
Aetna
| Professional | 25 | $128.72 | $128.72 | $128.72 |
BCBS
| Facility | $124.42 | $150.43 | $396.20 | |
BCBS
| Professional | $94.27 | $129.72 | $193.87 | |
Cigna
| Facility | $180.17 | $180.17 | $199.87 | |
Cigna
| Professional | $113.34 | $186.07 | $342.88 | |
United
| Professional | $103.65 | $142.19 | $236.26 |