| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.42 | $123.14 | $123.14 | |
BCBS
| Professional | $234.18 | $281.58 | $308.72 | |
Cigna
| Professional | $178.05 | $288.36 | $372.37 | |
Medica
| Professional | $126.93 | $228.71 | $319.95 | |
United
| Professional | $133.97 | $243.60 | $319.95 |