| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.90 | $144.47 | $162.30 | |
Anthem BCBS
| Professional | $155.94 | $191.16 | $255.48 | |
Cigna
| Professional | $135.10 | $135.10 | $141.49 | |
Medica
| Professional | $114.26 | $206.37 | $943.35 | |
United
| Professional | $119.24 | $206.37 | $360.68 |