| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $20.48 | $50.00 | |
Aetna
| Professional | 25 | $12.30 | $28.26 | $39.86 |
BCBS
| Professional | $17.89 | $21.38 | $33.54 | |
Cigna
| Professional | $19.36 | $22.46 | $35.82 | |
United
| Professional | $13.56 | $20.98 | $36.04 |