| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.76 | $106.42 | $174.15 | |
Anthem BCBS
| Professional | $92.35 | $122.14 | $192.12 | |
Cigna
| Professional | $94.61 | $138.60 | $243.63 | |
Medica
| Professional | $107.98 | $161.79 | $922.64 | |
United
| Professional | $99.88 | $147.80 | $241.50 |