| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.57 | $124.37 | $168.60 | |
Anthem BCBS
| Professional | $92.00 | $126.00 | $216.80 | |
Cigna
| Professional | $103.96 | $172.89 | $283.52 | |
Medica
| Professional | $129.56 | $272.54 | $1,715.04 | |
United
| Professional | $123.08 | $156.18 | $371.37 |