| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.40 | $139.47 | $203.19 | |
BCBS
| Professional | $215.00 | $302.00 | $457.00 | |
Cigna
| Professional | $148.19 | $245.36 | $442.85 | |
United
| Professional | $171.00 | $312.74 | $491.40 |