| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $134.90 | $204.17 | |
BCBS
| Professional | $154.88 | $154.88 | $181.97 | |
Cigna
| Professional | $120.23 | $177.83 | $371.54 | |
Medica
| Professional | $125.89 | $165.96 | $776.25 | |
United
| Professional | $125.89 | $162.18 | $239.88 |