| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.50 | $110.37 | $131.37 | |
BCBS
| Professional | $128.10 | $172.24 | $204.70 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Medica
| Professional | $114.91 | $136.41 | $847.87 | |
United
| Professional | $112.79 | $136.41 | $207.36 |