| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.65 | $123.42 | $137.05 | |
Anthem BCBS
| Professional | $123.13 | $140.01 | $209.64 | |
Cigna
| Professional | $109.51 | $109.51 | $116.07 | |
Medica
| Professional | $107.73 | $154.09 | $847.87 | |
United
| Professional | $104.70 | $151.38 | $282.89 |