| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $186.21 | $229.09 | |
BCBS
| Professional | $123.03 | $173.78 | $346.74 | |
Cigna
| Professional | $186.21 | $186.21 | $229.09 | |
Medica
| Professional | $194.98 | $263.03 | $1,348.96 | |
United
| Professional | $194.98 | $229.09 | $389.05 |