| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.61 | $93.28 | $93.28 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
BCBS
| Professional | $33.60 | $65.66 | $72.09 | |
Cigna
| Professional | $55.95 | $55.95 | $90.00 | |
Medica
| Professional | $23.68 | $43.90 | $140.54 | |
United
| Professional | $26.23 | $40.65 | $140.54 |