| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.42 | $125.53 | $770.21 | |
BCBS
| Professional | $124.32 | $127.51 | $254.23 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Medica
| Professional | $136.41 | $167.21 | $847.87 | |
United
| Professional | $136.41 | $167.21 | $307.49 |