| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $18.62 | $43.65 | |
Aetna
| Professional | 25 | $10.00 | $10.00 | $10.00 |
BCBS
| Professional | $20.89 | $25.70 | $25.70 | |
Cigna
| Professional | $19.95 | $23.99 | $30.20 | |
United
| Professional | $24.55 | $29.51 | $54.95 |