| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $162.18 | $281.84 | |
Aetna
| Professional | $123.03 | $165.96 | $263.03 | |
Aetna
| Professional | 25 | $138.04 | $194.98 | $588.84 |
BCBS
| Facility | $165.96 | $208.93 | $524.81 | |
BCBS
| Professional | $91.20 | $169.82 | $331.13 | |
Cigna
| Facility | $281.84 | $630.96 | $1,584.89 | |
Cigna
| Professional | $162.18 | $363.08 | $660.69 | |
United
| Facility | $117.49 | $138.04 | $173.78 | |
United
| Professional | $128.82 | $186.21 | $354.81 |