| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.26 | $63.10 | $93.33 | |
BCBS
| Professional | $100.00 | $131.83 | $204.17 | |
Cigna
| Professional | $89.13 | $114.82 | $177.83 | |
Medica
| Professional | $64.57 | $117.49 | $138.04 | |
United
| Professional | $64.57 | $114.82 | $154.88 |