| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $141.25 | $371.54 | |
Aetna
| Professional | 25 | $239.88 | $239.88 | $239.88 |
BCBS
| Professional | $263.03 | $323.59 | $323.59 | |
Cigna
| Professional | $218.78 | $398.11 | $436.52 | |
United
| Professional | $162.18 | $323.59 | $467.74 |