| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.63 | $90.10 | $123.58 | |
Aetna
| Professional | 25 | $73.05 | $92.38 | $118.22 |
BCBS
| Professional | $72.00 | $89.00 | $160.00 | |
Cigna
| Professional | $42.93 | $75.00 | $121.28 | |
United
| Professional | $75.00 | $139.43 | $154.37 |