| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $128.82 | $234.42 | |
BCBS
| Professional | $89.13 | $128.82 | $239.88 | |
Cigna
| Professional | $114.82 | $158.49 | $281.84 | |
Medica
| Professional | $109.65 | $154.88 | $776.25 | |
United
| Professional | $109.65 | $138.04 | $229.09 |