| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.08 | $333.08 | $333.08 | |
Aetna
| Professional | $110.63 | $164.48 | $300.00 | |
Aetna
| Professional | 25 | $216.61 | $216.61 | $240.52 |
BCBS
| Facility | $182.48 | $321.73 | $932.97 | |
BCBS
| Professional | $137.16 | $175.73 | $239.56 | |
Cigna
| Professional | $134.82 | $248.85 | $384.31 | |
United
| Professional | $156.54 | $219.21 | $311.14 |