| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $157.34 | $248.51 | $248.51 | |
BCBS
| Professional | $195.65 | $332.21 | $364.78 | |
Cigna
| Professional | $163.47 | $226.86 | $354.30 | |
Medica
| Professional | $230.40 | $396.91 | $1,665.76 | |
United
| Professional | $230.40 | $296.70 | $458.27 |