| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.18 | $55.88 | $154.58 | |
BCBS
| Professional | $27.44 | $56.32 | $112.47 | |
Cigna
| Professional | $54.40 | $89.68 | $176.27 | |
Medica
| Professional | $70.12 | $124.61 | $1,462.00 | |
Midlands
| Professional | $61.85 | $101.92 | $161.19 | |
United
| Professional | $70.12 | $125.21 | $141.38 |