| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.85 | $109.41 | $117.46 | |
BCBS
| Professional | $109.72 | $114.34 | $115.50 | |
Cigna
| Professional | $135.00 | $178.56 | $290.87 | |
Medica
| Professional | $148.52 | $241.35 | $354.75 | |
Midlands
| Professional | $158.31 | $212.35 | $319.11 | |
United
| Professional | $151.00 | $241.35 | $305.43 |