| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $221.62 | $226.14 | $343.27 | |
BCBS
| Professional | $343.00 | $343.00 | $343.00 | |
Cigna
| Professional | $198.79 | $198.79 | $198.79 | |
Medica
| Professional | $125.75 | $289.39 | $1,539.53 | |
United
| Professional | $118.46 | $269.47 | $488.13 |