| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.96 | $93.28 | $408.75 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
BCBS
| Professional | $40.92 | $59.52 | $84.82 | |
Cigna
| Professional | $55.95 | $55.95 | $95.63 | |
Medica
| Professional | $35.51 | $67.45 | $140.54 | |
United
| Professional | $35.51 | $67.45 | $140.54 |