| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.52 | $124.84 | $187.68 | |
BCBS
| Professional | $165.96 | $165.96 | $165.96 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Medica
| Professional | $90.62 | $158.00 | $847.87 | |
United
| Professional | $90.62 | $147.13 | $271.69 |