| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.63 | $246.46 | $903.87 | |
BCBS
| Professional | $164.96 | $206.20 | $206.20 | |
Cigna
| Professional | $137.22 | $339.00 | $602.83 | |
Medica
| Professional | $170.00 | $265.45 | $1,308.32 | |
United
| Professional | $168.54 | $245.69 | $328.30 |