| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.30 | $115.69 | $493.87 | |
BCBS
| Professional | $91.50 | $163.56 | $231.09 | |
Cigna
| Professional | $102.11 | $273.55 | $364.00 | |
Medica
| Professional | $147.80 | $261.37 | $922.64 | |
Midlands
| Professional | $181.39 | $247.46 | $328.76 | |
United
| Professional | $147.80 | $261.37 | $292.70 |