| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.00 | $93.28 | $93.28 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
BCBS
| Professional | $120.96 | $145.43 | $162.60 | |
Cigna
| Professional | $72.00 | $72.72 | $90.00 | |
Medica
| Professional | $29.83 | $55.55 | $112.43 | |
United
| Professional | $23.60 | $55.55 | $112.43 |