| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.11 | $76.03 | $105.24 | |
Aetna
| Professional | $61.78 | $71.54 | $90.80 | |
Aetna
| Professional | 25 | $195.09 | $195.09 | $195.09 |
BCBS
| Facility | $83.55 | $101.01 | $266.02 | |
BCBS
| Professional | $64.85 | $83.81 | $139.19 | |
Cigna
| Facility | $100.27 | $100.27 | $100.27 | |
Cigna
| Professional | $74.20 | $99.00 | $156.19 | |
United
| Professional | $75.06 | $103.08 | $162.21 |