| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.94 | $109.44 | $249.00 | |
BCBS
| Professional | $160.62 | $160.62 | $160.62 | |
Cigna
| Professional | $116.34 | $175.00 | $444.57 | |
Medica
| Professional | $113.08 | $143.09 | $695.50 | |
United
| Professional | $112.67 | $140.84 | $259.17 |