| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.81 | $104.50 | $135.57 | |
Anthem BCBS
| Professional | $113.57 | $118.14 | $176.58 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Medica
| Professional | $108.91 | $154.62 | $787.82 | |
United
| Professional | $108.91 | $150.66 | $215.45 |