| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.14 | $168.55 | $320.70 | |
Anthem BCBS
| Professional | $133.85 | $199.96 | $340.82 | |
Cigna
| Professional | $138.25 | $231.20 | $434.65 | |
Medica
| Professional | $207.82 | $303.04 | $1,710.56 | |
United
| Professional | $196.57 | $255.38 | $445.46 |