| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.07 | $174.53 | $194.30 | |
BCBS
| Professional | $240.00 | $378.30 | $494.41 | |
Cigna
| Professional | $159.50 | $311.99 | $609.72 | |
Medica
| Professional | $167.51 | $279.18 | $455.31 | |
United
| Professional | $167.51 | $313.04 | $455.31 |