| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.28 | $140.43 | $182.56 | |
Aetna
| Professional | 25 | $240.88 | $240.88 | $240.88 |
BCBS
| Professional | $263.00 | $263.00 | $325.00 | |
Cigna
| Professional | $219.93 | $395.80 | $436.99 | |
United
| Professional | $168.64 | $328.06 | $466.40 |