| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $222.38 | $253.62 | $1,446.39 | |
BCBS
| Professional | $220.64 | $226.30 | $451.18 | |
Cigna
| Professional | $194.32 | $194.32 | $194.32 | |
Medica
| Professional | $192.32 | $316.13 | $1,561.80 | |
United
| Professional | $192.32 | $316.13 | $439.52 |