| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.81 | $56.47 | $88.03 | |
Aetna
| Facility | 25 | $60.49 | $60.49 | $60.49 |
Aetna
| Professional | $30.40 | $44.17 | $65.73 | |
Aetna
| Professional | 25 | $42.71 | $55.52 | $67.55 |
BCBS
| Facility | $58.76 | $71.05 | $187.12 | |
BCBS
| Professional | $40.84 | $58.56 | $84.36 | |
Cigna
| Facility | $66.28 | $66.28 | $66.28 | |
Cigna
| Professional | $36.59 | $54.29 | $93.73 | |
United
| Professional | $37.88 | $50.24 | $86.43 |