| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $199.53 | $831.76 | |
BCBS
| Professional | $181.97 | $181.97 | $891.25 | |
Cigna
| Professional | $162.18 | $263.03 | $363.08 | |
Medica
| Professional | $154.88 | $208.93 | $1,412.54 | |
United
| Professional | $154.88 | $208.93 | $354.81 |