| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.67 | $116.67 | $127.06 | |
BCBS
| Professional | $225.32 | $245.56 | $290.13 | |
Cigna
| Professional | $141.69 | $222.84 | $359.71 | |
Medica
| Professional | $119.46 | $218.18 | $303.50 | |
United
| Professional | $127.81 | $232.38 | $317.08 |