| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.97 | $158.33 | $232.49 | |
BCBS
| Professional | $128.52 | $156.06 | $296.70 | |
Cigna
| Professional | $168.40 | $228.51 | $316.94 | |
United
| Professional | $132.97 | $219.69 | $336.59 |