| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $147.91 | $416.87 | |
BCBS
| Professional | $107.15 | $120.23 | $346.74 | |
Cigna
| Professional | $123.03 | $162.18 | $269.15 | |
Medica
| Professional | $114.82 | $154.88 | $2,630.27 | |
United
| Professional | $114.82 | $138.04 | $257.04 |