| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.94 | $83.23 | $111.94 | |
Aetna
| Professional | 25 | $84.68 | $84.68 | $84.68 |
BCBS
| Professional | $65.00 | $80.00 | $152.00 | |
Cigna
| Professional | $39.04 | $69.77 | $115.18 | |
United
| Professional | $73.28 | $123.24 | $146.94 |