| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $155.51 | $189.21 | $230.68 | |
BCBS
| Professional | $317.58 | $412.00 | $564.50 | |
Cigna
| Professional | $218.77 | $418.02 | $592.69 | |
Medica
| Professional | $230.25 | $411.83 | $1,192.96 | |
United
| Professional | $230.25 | $411.83 | $484.52 |