| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.99 | $126.09 | $178.11 | |
BCBS
| Professional | $143.56 | $152.53 | $179.45 | |
Cigna
| Professional | $114.77 | $157.13 | $223.65 | |
Medica
| Professional | $119.31 | $146.86 | $779.72 | |
United
| Professional | $118.28 | $138.85 | $200.48 |