| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.20 | $57.63 | $71.26 | |
Anthem BCBS
| Professional | $57.00 | $73.78 | $123.53 | |
Cigna
| Professional | $51.79 | $99.46 | $163.77 | |
Medica
| Professional | $55.64 | $80.72 | $150.38 | |
United
| Professional | $55.64 | $80.72 | $152.61 |