| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.86 | $74.56 | $93.28 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
BCBS
| Professional | $191.53 | $191.53 | $191.53 | |
Cigna
| Professional | $55.95 | $72.72 | $91.44 | |
Medica
| Professional | $23.68 | $38.36 | $147.05 | |
United
| Professional | $26.23 | $35.51 | $147.05 |