| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.91 | $218.78 | $354.81 | |
BCBS
| Professional | $173.78 | $251.19 | $354.81 | |
Cigna
| Professional | $169.82 | $257.04 | $389.05 | |
United
| Professional | $147.91 | $213.80 | $354.81 |