| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.47 | $171.94 | $260.17 | |
BCBS
| Professional | $218.75 | $218.75 | $218.75 | |
Cigna
| Professional | $150.88 | $150.88 | $150.88 | |
Medica
| Professional | $113.02 | $217.94 | $1,166.83 | |
United
| Professional | $106.47 | $202.94 | $367.55 |