| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.76 | $141.13 | $175.82 | |
Anthem BCBS
| Professional | $126.04 | $156.63 | $250.86 | |
Cigna
| Professional | $128.00 | $199.86 | $308.72 | |
Medica
| Professional | $146.88 | $259.27 | $1,418.00 | |
United
| Professional | $144.19 | $190.05 | $437.15 |