| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.88 | $150.32 | $178.11 | |
Aetna
| Professional | $132.05 | $158.11 | $196.64 | |
Aetna
| Professional | 25 | $212.65 | $212.65 | $212.65 |
BCBS
| Facility | $163.04 | $163.04 | $163.04 | |
BCBS
| Professional | $145.83 | $185.59 | $261.80 | |
Cigna
| Facility | $211.40 | $211.40 | $211.40 | |
Cigna
| Professional | $160.77 | $196.46 | $380.90 | |
United
| Professional | $149.28 | $188.13 | $314.08 |