| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.89 | $116.40 | $137.69 | |
BCBS
| Professional | $109.72 | $114.34 | $115.50 | |
Cigna
| Professional | $135.00 | $178.56 | $290.87 | |
Medica
| Professional | $149.12 | $242.33 | $354.05 | |
Midlands
| Professional | $158.31 | $207.36 | $319.11 | |
United
| Professional | $151.61 | $223.69 | $305.43 |