| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $125.89 | $151.36 | |
Aetna
| Professional | 25 | $72.44 | $120.23 | $141.25 |
BCBS
| Professional | $107.15 | $134.90 | $223.87 | |
Cigna
| Professional | $63.10 | $100.00 | $177.83 | |
United
| Professional | $79.43 | $134.90 | $208.93 |