| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $128.82 | $204.17 | |
BCBS
| Professional | $218.78 | $269.15 | $316.23 | |
Cigna
| Professional | $190.55 | $245.47 | $346.74 | |
Medica
| Professional | $114.82 | $204.17 | $309.03 | |
United
| Professional | $112.20 | $204.17 | $309.03 |