| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.86 | $98.07 | $135.62 | |
BCBS
| Professional | $94.50 | $157.83 | $214.77 | |
Cigna
| Professional | $131.36 | $210.31 | $273.30 | |
Medica
| Professional | $157.38 | $215.57 | $1,496.82 | |
Midlands
| Professional | $169.58 | $220.49 | $279.58 | |
United
| Professional | $161.35 | $205.65 | $258.69 |