| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $75.86 | $109.65 | |
Aetna
| Professional | 25 | $134.90 | $134.90 | $173.78 |
BCBS
| Professional | $89.13 | $89.13 | $89.13 | |
Cigna
| Professional | $41.69 | $69.18 | $120.23 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $40.74 | $60.26 | $87.10 |