| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $257.04 | $489.78 | |
BCBS
| Professional | $162.18 | $251.19 | $467.74 | |
Cigna
| Professional | $190.55 | $316.23 | $691.83 | |
United
| Professional | $158.49 | $263.03 | $501.19 |