| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.00 | $144.00 | $210.00 | |
Aetna
| Professional | 25 | $91.77 | $167.25 | $176.57 |
BCBS
| Professional | $135.00 | $166.00 | $267.00 | |
Cigna
| Professional | $79.04 | $124.24 | $211.11 | |
United
| Professional | $124.96 | $190.83 | $258.10 |