| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $26.92 | $64.57 | |
Aetna
| Professional | 25 | $12.30 | $31.62 | $141.25 |
BCBS
| Professional | $15.14 | $21.88 | $42.66 | |
Cigna
| Professional | $19.05 | $42.66 | $89.13 | |
United
| Professional | $13.49 | $21.38 | $41.69 |