| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.26 | $76.97 | $102.88 | |
Aetna
| Professional | 25 | $76.28 | $80.48 | $98.10 |
BCBS
| Professional | $109.00 | $134.00 | $147.00 | |
Cigna
| Professional | $71.86 | $135.15 | $191.66 | |
United
| Professional | $106.05 | $155.99 | $238.33 |