| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.66 | $177.00 | $1,095.80 | |
BCBS
| Professional | $140.36 | $143.96 | $287.02 | |
Cigna
| Professional | $167.07 | $248.00 | $362.93 | |
Medica
| Professional | $165.34 | $201.63 | $1,529.71 | |
United
| Professional | $164.04 | $201.63 | $374.12 |