| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.74 | $64.57 | $93.33 | |
Aetna
| Professional | 25 | $173.78 | $173.78 | $173.78 |
BCBS
| Professional | $23.44 | $43.65 | $79.43 | |
Cigna
| Professional | $34.67 | $61.66 | $100.00 | |
United
| Professional | $34.67 | $61.66 | $120.23 |