| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $64.57 | $123.03 | |
BCBS
| Professional | $102.33 | $102.33 | $102.33 | |
Cigna
| Professional | $56.23 | $131.83 | $158.49 | |
Medica
| Professional | $61.66 | $81.28 | $107.15 | |
United
| Professional | $64.57 | $81.28 | $107.15 |