| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $128.82 | $338.84 | |
Anthem BCBS
| Professional | $109.65 | $138.04 | $223.87 | |
BCBS
| Professional | $114.82 | $131.83 | $199.53 | |
Cigna
| Professional | $120.23 | $165.96 | $275.42 | |
Medica
| Professional | $114.82 | $173.78 | $776.25 | |
United
| Professional | $109.65 | $154.88 | $239.88 |