| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $102.33 | $190.55 | |
Aetna
| Facility | 25 | $275.42 | $478.63 | $478.63 |
Aetna
| Professional | $60.26 | $77.62 | $177.83 | |
Aetna
| Professional | 25 | $61.66 | $83.18 | $218.78 |
BCBS
| Facility | $114.82 | $141.25 | $154.88 | |
BCBS
| Professional | $56.23 | $77.62 | $147.91 | |
Cigna
| Facility | $114.82 | $114.82 | $288.40 | |
Cigna
| Professional | $69.18 | $104.71 | $199.53 | |
United
| Facility | $60.26 | $117.49 | $380.19 | |
United
| Professional | $66.07 | $91.20 | $151.36 |