| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $66.07 | $263.03 | |
Aetna
| Professional | 25 | $89.13 | $89.13 | $117.49 |
BCBS
| Professional | $38.02 | $57.54 | $120.23 | |
Cigna
| Professional | $51.29 | $85.11 | $107.15 | |
United
| Professional | $38.02 | $63.10 | $102.33 |