| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.10 | $157.95 | $260.10 | |
Aetna
| Facility | 25 | $186.71 | $252.00 | $254.54 |
Aetna
| Professional | $112.03 | $162.57 | $317.39 | |
Aetna
| Professional | 25 | $163.83 | $240.52 | $414.41 |
BCBS
| Facility | $128.38 | $182.37 | $480.30 | |
BCBS
| Professional | $125.51 | $176.81 | $298.01 | |
Cigna
| Facility | $185.75 | $185.75 | $185.75 | |
Cigna
| Professional | $135.43 | $201.01 | $326.10 | |
United
| Professional | $147.66 | $208.90 | $337.91 |