| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.66 | $73.81 | $122.00 | |
Aetna
| Professional | 25 | $71.40 | $71.40 | $71.40 |
Anthem BCBS
| Professional | $62.98 | $80.70 | $108.71 | |
CareSource
| Professional | $53.35 | $61.35 | $72.02 | |
Cigna
| Professional | $67.68 | $76.23 | $128.43 | |
United
| Professional | $56.21 | $75.30 | $111.84 |