| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.80 | $162.08 | $255.49 | |
Anthem BCBS
| Professional | $133.50 | $173.00 | $269.10 | |
Cigna
| Professional | $159.07 | $217.13 | $358.48 | |
Medica
| Professional | $170.64 | $264.33 | $1,377.92 | |
United
| Professional | $165.65 | $230.08 | $366.84 |