| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.22 | $27.27 | $29.63 | |
BCBS
| Professional | $59.31 | $66.54 | $70.95 | |
Cigna
| Professional | $27.02 | $43.93 | $72.47 | |
Medica
| Professional | $29.95 | $56.30 | $179.52 | |
United
| Professional | $29.95 | $55.64 | $77.51 |