| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $89.13 | $177.83 | |
Aetna
| Professional | $60.26 | $70.79 | $97.72 | |
Aetna
| Professional | 25 | $229.09 | $229.09 | $229.09 |
BCBS
| Facility | $87.10 | $109.65 | $275.42 | |
BCBS
| Professional | $54.95 | $87.10 | $151.36 | |
Cigna
| Facility | $83.18 | $223.87 | $630.96 | |
Cigna
| Professional | $72.44 | $112.20 | $218.78 | |
United
| Facility | $69.18 | $89.13 | $128.82 | |
United
| Professional | $67.61 | $97.72 | $165.96 |