| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.98 | $128.91 | $610.90 | |
BCBS
| Professional | $87.55 | $116.73 | $145.91 | |
Cigna
| Professional | $113.97 | $132.19 | $206.24 | |
Medica
| Professional | $109.23 | $130.80 | $1,700.00 | |
United
| Professional | $109.08 | $125.78 | $195.91 |