| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.47 | $143.47 | $147.91 | |
BCBS
| Professional | $112.70 | $151.53 | $154.75 | |
Cigna
| Professional | $115.31 | $154.41 | $201.61 | |
Medica
| Professional | $103.93 | $149.86 | $1,700.00 | |
United
| Professional | $95.57 | $131.41 | $194.49 |