| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $77.62 | $109.65 | |
BCBS
| Professional | $66.07 | $89.13 | $95.50 | |
Cigna
| Professional | $89.13 | $89.13 | $89.13 | |
Medica
| Professional | $79.43 | $107.15 | $616.60 | |
United
| Professional | $60.26 | $85.11 | $123.03 |