| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.50 | $79.13 | $179.60 | |
Aetna
| Professional | 25 | $116.98 | $116.98 | $116.98 |
BCBS
| Professional | $64.94 | $82.37 | $130.66 | |
Cigna
| Professional | $71.69 | $97.00 | $143.60 | |
United
| Professional | $67.44 | $91.38 | $153.78 |