| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $114.82 | $323.59 | |
BCBS
| Professional | $104.71 | $151.36 | $302.00 | |
Cigna
| Professional | $81.28 | $123.03 | $213.80 | |
Medica
| Professional | $100.00 | $147.91 | $933.25 | |
United
| Professional | $75.86 | $104.71 | $177.83 |