| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.91 | $213.80 | $436.52 | |
BCBS
| Professional | $147.91 | $213.80 | $416.87 | |
Cigna
| Professional | $169.82 | $275.42 | $575.44 | |
United
| Professional | $147.91 | $223.87 | $416.87 |