| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.91 | $133.21 | $155.25 | |
BCBS
| Professional | $252.49 | $316.95 | $382.14 | |
Cigna
| Professional | $189.65 | $322.14 | $479.97 | |
Medica
| Professional | $159.16 | $284.81 | $961.60 | |
United
| Professional | $159.16 | $281.97 | $354.06 |