| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.74 | $117.34 | $173.26 | |
BCBS
| Professional | $103.36 | $129.50 | $221.42 | |
Cigna
| Professional | $143.29 | $182.87 | $237.99 | |
United
| Professional | $103.29 | $164.97 | $255.50 |