| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.38 | $124.20 | $137.18 | |
Anthem BCBS
| Professional | $125.70 | $144.19 | $218.44 | |
Cigna
| Professional | $108.92 | $108.92 | $115.45 | |
Medica
| Professional | $112.30 | $167.24 | $847.87 | |
United
| Professional | $108.07 | $161.01 | $288.12 |