| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.44 | $93.64 | $185.12 | |
Aetna
| Professional | 52 | $35.72 | $39.10 | $50.22 |
BCBS
| Professional | $140.90 | $169.41 | $185.73 | |
Cigna
| Professional | $110.97 | $164.59 | $247.30 | |
Medica
| Professional | $72.18 | $144.34 | $1,420.00 | |
United
| Professional | $72.18 | $130.68 | $171.88 |