| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.22 | $86.66 | $109.65 | |
Aetna
| Professional | $70.59 | $85.97 | $115.37 | |
Aetna
| Professional | 25 | $20.57 | $101.95 | $101.95 |
BCBS
| Facility | $86.80 | $104.94 | $276.39 | |
BCBS
| Professional | $73.70 | $94.73 | $140.12 | |
Cigna
| Facility | $145.43 | $145.43 | $161.35 | |
Cigna
| Professional | $87.55 | $138.78 | $228.22 | |
United
| Facility | $92.15 | $92.15 | $92.15 | |
United
| Professional | $80.06 | $104.16 | $170.32 |