| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $354.81 | $354.81 | |
Aetna
| Professional | $158.49 | $239.88 | $501.19 | |
Aetna
| Professional | 25 | $186.21 | $302.00 | $870.96 |
BCBS
| Facility | $177.83 | $363.08 | $616.60 | |
BCBS
| Professional | $141.25 | $194.98 | $281.84 | |
Cigna
| Professional | $181.97 | $338.84 | $524.81 | |
United
| Facility | $275.42 | $275.42 | $275.42 | |
United
| Professional | $177.83 | $263.03 | $363.08 |