| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $31.97 | $31.97 | |
BCBS
| Professional | $75.69 | $83.62 | $84.81 | |
Cigna
| Professional | $43.14 | $43.14 | $53.93 | |
Medica
| Professional | $43.31 | $76.54 | $213.96 | |
United
| Professional | $36.81 | $75.06 | $78.36 |