| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.81 | $178.38 | $307.64 | |
BCBS
| Professional | $119.28 | $170.40 | $170.40 | |
Cigna
| Professional | $127.58 | $187.90 | $238.03 | |
Medica
| Professional | $115.65 | $163.11 | $1,624.00 | |
United
| Professional | $116.40 | $163.11 | $211.63 |