| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.87 | $88.48 | $119.69 | |
BCBS
| Professional | $101.26 | $169.24 | $260.27 | |
Cigna
| Professional | $75.50 | $151.32 | $316.45 | |
Medica
| Professional | $100.69 | $178.24 | $406.46 | |
United
| Professional | $100.69 | $174.26 | $221.52 |