| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.37 | $49.10 | $98.71 | |
Aetna
| Professional | 25 | $49.10 | $164.97 | $164.97 |
BCBS
| Professional | $71.00 | $88.00 | $88.00 | |
Cigna
| Professional | $40.88 | $57.60 | $92.61 | |
United
| Professional | $44.05 | $68.81 | $109.76 |