| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $67.61 | $114.82 | |
Aetna
| Professional | $51.29 | $67.61 | $102.33 | |
Aetna
| Professional | 25 | $14.45 | $70.79 | $75.86 |
BCBS
| Facility | $69.18 | $87.10 | $218.78 | |
BCBS
| Professional | $46.77 | $72.44 | $138.04 | |
Cigna
| Facility | $70.79 | $229.09 | $660.69 | |
Cigna
| Professional | $70.79 | $158.49 | $288.40 | |
United
| Facility | $53.70 | $56.23 | $75.86 | |
United
| Professional | $56.23 | $77.62 | $144.54 |