| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $146.97 | $176.96 | $233.06 | |
Anthem BCBS
| Professional | $195.19 | $202.68 | $302.95 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Medica
| Professional | $187.12 | $266.08 | $1,338.62 | |
United
| Professional | $187.12 | $264.97 | $374.48 |