| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.58 | $99.82 | $103.61 | |
Aetna
| Professional | 25 | $99.43 | $99.43 | $99.43 |
Anthem BCBS
| Professional | $96.49 | $113.90 | $144.53 | |
Cigna
| Professional | $94.04 | $116.72 | $153.32 | |
United
| Professional | $87.19 | $103.15 | $171.11 |