| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.73 | $128.36 | $253.79 | |
BCBS
| Professional | $141.05 | $176.39 | $193.68 | |
Cigna
| Professional | $149.13 | $198.48 | $303.54 | |
Medica
| Professional | $130.91 | $165.92 | $217.40 | |
United
| Professional | $129.63 | $166.80 | $221.74 |