| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.01 | $193.00 | $193.00 | |
BCBS
| Professional | $321.68 | $386.78 | $425.48 | |
Cigna
| Professional | $255.73 | $414.16 | $534.82 | |
Medica
| Professional | $175.76 | $287.83 | $419.16 | |
United
| Professional | $175.76 | $271.85 | $377.72 |