| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.26 | $97.72 | $354.81 | |
Aetna
| Professional | 25 | $117.49 | $117.49 | $426.58 |
BCBS
| Professional | $64.57 | $85.11 | $177.83 | |
Cigna
| Professional | $72.44 | $134.90 | $181.97 | |
United
| Professional | $63.10 | $91.20 | $169.82 |