| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.44 | $108.35 | $128.59 | |
Aetna
| Professional | $91.40 | $111.60 | $141.09 | |
Aetna
| Professional | 25 | $159.88 | $159.88 | $159.88 |
BCBS
| Facility | $116.89 | $116.89 | $116.89 | |
BCBS
| Professional | $103.01 | $130.81 | $179.82 | |
Cigna
| Facility | $144.97 | $144.97 | $144.97 | |
Cigna
| Professional | $113.16 | $141.04 | $262.67 | |
United
| Professional | $108.00 | $135.88 | $218.50 |