| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.54 | $95.54 | $126.76 | |
BCBS
| Professional | $123.00 | $164.00 | $219.00 | |
Cigna
| Professional | $120.53 | $158.57 | $229.74 | |
United
| Professional | $135.53 | $211.21 | $381.12 |