| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.85 | $103.66 | $118.25 | |
BCBS
| Professional | $213.20 | $250.82 | $250.82 | |
Cigna
| Professional | $89.28 | $89.28 | $89.28 | |
Medica
| Professional | $104.30 | $176.09 | $996.49 | |
United
| Professional | $100.05 | $154.54 | $214.36 |