| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.11 | $87.40 | $161.57 | |
BCBS
| Professional | $61.78 | $121.98 | $235.63 | |
Cigna
| Professional | $53.03 | $138.22 | $291.38 | |
Medica
| Professional | $114.75 | $162.22 | $452.96 | |
Midlands
| Professional | $126.87 | $176.16 | $293.73 | |
United
| Professional | $107.19 | $162.22 | $287.89 |