| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.49 | $39.89 | $48.68 | |
BCBS
| Professional | $112.72 | $112.72 | $112.72 | |
Cigna
| Professional | $12.84 | $64.09 | $445.00 | |
Medica
| Professional | $44.39 | $169.23 | $1,688.61 | |
United
| Professional | $43.06 | $64.53 | $314.00 |