| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.88 | $54.88 | $54.88 | |
BCBS
| Professional | $79.14 | $87.70 | $103.62 | |
Cigna
| Professional | $63.44 | $79.30 | $109.14 | |
Medica
| Professional | $27.46 | $49.44 | $463.00 | |
United
| Professional | $24.90 | $47.42 | $62.30 |