| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.79 | $31.62 | $50.12 | |
Aetna
| Professional | 25 | $19.95 | $19.95 | $19.95 |
BCBS
| Professional | $36.31 | $47.86 | $53.70 | |
Cigna
| Professional | $31.62 | $40.74 | $63.10 | |
Medica
| Professional | $12.88 | $30.90 | $47.86 | |
United
| Professional | $12.88 | $33.88 | $51.29 |