| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.56 | $133.38 | $305.06 | |
BCBS
| Professional | $162.97 | $162.97 | $162.97 | |
Cigna
| Professional | $109.46 | $200.83 | $433.53 | |
Medica
| Professional | $114.09 | $165.63 | $880.77 | |
United
| Professional | $108.99 | $160.72 | $316.69 |