| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.56 | $107.18 | $123.36 | |
BCBS
| Professional | $164.23 | $164.23 | $193.21 | |
Cigna
| Professional | $109.51 | $109.51 | $178.56 | |
Medica
| Professional | $129.19 | $157.01 | $787.82 | |
United
| Professional | $127.08 | $150.18 | $199.03 |