| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.53 | $245.40 | $262.55 | |
BCBS
| Professional | $430.41 | $483.40 | $568.70 | |
Cigna
| Professional | $199.09 | $259.44 | $326.23 | |
Medica
| Professional | $262.73 | $501.75 | $1,543.86 | |
United
| Professional | $262.73 | $447.68 | $633.57 |