| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $87.10 | $389.05 | |
BCBS
| Professional | $70.79 | $79.43 | $138.04 | |
Cigna
| Professional | $70.79 | $120.23 | $190.55 | |
Medica
| Professional | $69.18 | $128.82 | $812.83 | |
United
| Professional | $66.07 | $107.15 | $173.78 |