| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.74 | $107.87 | $163.69 | |
BCBS
| Professional | $193.01 | $216.09 | $254.44 | |
Cigna
| Professional | $114.00 | $114.00 | $142.50 | |
Medica
| Professional | $118.31 | $233.14 | $279.33 | |
United
| Professional | $160.97 | $221.48 | $279.33 |