| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $18.52 | $33.22 | |
BCBS
| Professional | $58.17 | $66.31 | $78.03 | |
Cigna
| Professional | $25.93 | $32.40 | $40.22 | |
Medica
| Professional | $22.44 | $27.26 | $58.70 | |
United
| Professional | $22.44 | $27.26 | $46.99 |