| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $30.00 | $85.85 | |
Aetna
| Professional | 25 | $12.30 | $12.30 | $140.71 |
BCBS
| Professional | $12.75 | $18.55 | $122.93 | |
Cigna
| Professional | $18.77 | $20.18 | $37.02 | |
Medica
| Professional | $14.44 | $21.60 | $31.28 | |
United
| Professional | $14.44 | $22.01 | $34.79 |