| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.70 | $85.11 | $114.82 | |
Aetna
| Professional | 25 | $48.98 | $89.13 | $93.33 |
BCBS
| Professional | $72.44 | $89.13 | $158.49 | |
Cigna
| Professional | $42.66 | $72.44 | $120.23 | |
United
| Professional | $53.70 | $89.13 | $147.91 |