| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $21.71 | $72.00 | |
Aetna
| Professional | 25 | $12.30 | $12.30 | $12.30 |
BCBS
| Professional | $32.60 | $32.60 | $32.60 | |
Cigna
| Professional | $18.14 | $32.60 | $66.59 | |
Providence
| Professional | $17.17 | $23.78 | $44.39 | |
United
| Professional | $14.44 | $14.44 | $37.77 |