| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.59 | $176.65 | $218.90 | |
Aetna
| Professional | $158.30 | $191.57 | $243.80 | |
Aetna
| Professional | 25 | $266.77 | $266.77 | $266.77 |
BCBS
| Facility | $201.38 | $201.38 | $201.38 | |
BCBS
| Professional | $177.89 | $225.37 | $295.61 | |
Cigna
| Facility | $229.97 | $229.97 | $229.97 | |
Cigna
| Professional | $191.49 | $237.47 | $415.60 | |
United
| Professional | $184.18 | $230.82 | $368.13 |