| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $208.93 | $338.84 | |
BCBS
| Professional | $263.03 | $346.74 | $630.96 | |
BCBS
| Professional | 50 | $389.05 | $524.81 | $954.99 |
Cigna
| Professional | $194.98 | $407.38 | $691.83 | |
Medica
| Professional | $257.04 | $467.74 | $562.34 | |
United
| Professional | $147.91 | $288.40 | $562.34 |