| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.05 | $239.62 | $370.00 | |
Aetna
| Professional | 25 | $463.84 | $463.84 | $463.84 |
BCBS
| Professional | $275.00 | $339.00 | $503.00 | |
Cigna
| Professional | $211.56 | $306.88 | $612.64 | |
United
| Professional | $374.01 | $463.65 | $679.36 |