| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.61 | $131.52 | $142.41 | |
BCBS
| Professional | $228.81 | $285.98 | $356.57 | |
Cigna
| Professional | $168.47 | $281.86 | $447.27 | |
Medica
| Professional | $146.88 | $263.88 | $370.39 | |
United
| Professional | $146.88 | $268.91 | $370.39 |