| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.79 | $130.09 | $147.72 | |
Anthem BCBS
| Professional | $132.60 | $169.00 | $258.48 | |
Cigna
| Professional | $128.33 | $205.28 | $377.23 | |
Medica
| Professional | $138.61 | $216.89 | $2,654.97 | |
United
| Professional | $134.25 | $178.75 | $291.27 |