| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.97 | $62.49 | $97.39 | |
BCBS
| Professional | $110.02 | $119.27 | $142.37 | |
Cigna
| Professional | $95.84 | $137.56 | $200.43 | |
Medica
| Professional | $105.74 | $185.95 | $896.81 | |
United
| Professional | $88.85 | $174.47 | $224.61 |