| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $79.43 | $128.82 | |
Aetna
| Professional | 25 | $75.86 | $81.28 | $288.40 |
BCBS
| Professional | $79.43 | $79.43 | $79.43 | |
Cigna
| Professional | $45.71 | $74.13 | $125.89 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $43.65 | $63.10 | $89.13 |