| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.21 | $124.52 | $188.14 | |
BCBS
| Professional | $152.19 | $152.19 | $152.19 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Medica
| Professional | $90.62 | $158.00 | $847.87 | |
United
| Professional | $90.62 | $143.63 | $244.19 |