| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.64 | $150.77 | $191.28 | |
Aetna
| Professional | $129.22 | $154.47 | $202.27 | |
Aetna
| Professional | 25 | $240.88 | $240.88 | $240.88 |
BCBS
| Facility | $159.19 | $192.47 | $506.90 | |
BCBS
| Professional | $123.75 | $171.13 | $256.75 | |
Cigna
| Facility | $246.19 | $246.19 | $273.07 | |
Cigna
| Professional | $150.41 | $239.89 | $395.80 | |
United
| Professional | $133.71 | $184.24 | $304.76 |