| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.53 | $138.69 | $138.69 | |
BCBS
| Professional | $130.90 | $176.00 | $193.69 | |
Cigna
| Professional | $79.67 | $162.76 | $202.36 | |
Medica
| Professional | $105.20 | $132.94 | $1,624.00 | |
United
| Professional | $108.85 | $132.44 | $222.06 |