| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $125.89 | $190.55 | |
BCBS
| Professional | $120.23 | $151.36 | $165.96 | |
Cigna
| Professional | $114.82 | $165.96 | $218.78 | |
Medica
| Professional | $104.71 | $141.25 | $776.25 | |
United
| Professional | $100.00 | $128.82 | $204.17 |