| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.35 | $76.61 | $129.65 | |
BCBS
| Professional | $15.86 | $36.07 | $152.25 | |
Cigna
| Professional | $31.24 | $138.02 | $233.21 | |
Medica
| Professional | $102.27 | $153.41 | $295.14 | |
Midlands
| Professional | $35.90 | $134.33 | $219.78 | |
United
| Professional | $102.27 | $169.14 | $207.53 |