| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $123.03 | $257.04 | |
Aetna
| Professional | 25 | $338.84 | $346.74 | $363.08 |
BCBS
| Professional | $47.86 | $77.62 | $144.54 | |
Cigna
| Professional | $60.26 | $107.15 | $204.17 | |
United
| Professional | $64.57 | $114.82 | $213.80 |