| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.17 | $124.63 | $171.18 | |
BCBS
| Professional | $289.52 | $305.80 | $365.14 | |
Cigna
| Professional | $163.80 | $246.49 | $392.91 | |
Medica
| Professional | $126.67 | $241.87 | $832.84 | |
United
| Professional | $126.67 | $229.50 | $324.60 |