| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $83.18 | $112.20 | |
Aetna
| Professional | 25 | $85.11 | $85.11 | $87.10 |
BCBS
| Professional | $64.57 | $79.43 | $151.36 | |
Cigna
| Professional | $38.90 | $67.61 | $114.82 | |
United
| Professional | $52.48 | $83.18 | $141.25 |