| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.62 | $137.18 | $770.21 | |
BCBS
| Professional | $123.65 | $126.82 | $252.84 | |
Cigna
| Professional | $108.92 | $108.92 | $108.92 | |
Medica
| Professional | $143.63 | $179.55 | $847.87 | |
United
| Professional | $143.63 | $179.55 | $229.82 |