| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $26.02 | $58.85 | |
Aetna
| Professional | 25 | $39.86 | $39.86 | $39.86 |
BCBS
| Professional | $21.72 | $27.14 | $34.76 | |
Cigna
| Professional | $13.79 | $21.24 | $29.25 | |
Medcost
| Professional | $21.87 | $21.87 | $21.87 | |
United
| Professional | $13.72 | $21.24 | $44.06 |