| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $91.20 | $158.49 | |
Aetna
| Professional | $69.18 | $93.33 | $162.18 | |
Aetna
| Professional | 25 | $20.42 | $102.33 | $173.78 |
BCBS
| Facility | $91.20 | $114.82 | $288.40 | |
BCBS
| Professional | $63.10 | $100.00 | $190.55 | |
Cigna
| Facility | $165.96 | $380.19 | $954.99 | |
Cigna
| Professional | $95.50 | $208.93 | $389.05 | |
United
| Facility | $72.44 | $79.43 | $109.65 | |
United
| Professional | $75.86 | $104.71 | $199.53 |