| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.56 | $122.19 | $140.07 | |
BCBS
| Professional | $135.25 | $164.23 | $193.21 | |
Cigna
| Professional | $109.51 | $109.51 | $178.56 | |
Medica
| Professional | $130.96 | $156.18 | $787.82 | |
United
| Professional | $126.17 | $146.09 | $197.85 |