| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.01 | $229.25 | $296.89 | |
BCBS
| Professional | $266.95 | $398.51 | $680.96 | |
BCBS
| Professional | 50 | $400.44 | $597.77 | $985.89 |
Cigna
| Professional | $196.21 | $405.03 | $847.06 | |
Medica
| Professional | $268.87 | $490.56 | $688.33 | |
United
| Professional | $268.87 | $522.50 | $688.33 |