| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.39 | $126.73 | $152.49 | |
BCBS
| Professional | $220.27 | $271.83 | $292.61 | |
Cigna
| Professional | $124.28 | $253.61 | $339.00 | |
Medica
| Professional | $115.68 | $214.55 | $779.72 | |
United
| Professional | $105.83 | $193.20 | $282.22 |