| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $131.83 | $223.87 | |
Anthem BCBS
| Professional | $100.00 | $144.54 | $223.87 | |
Cigna
| Professional | $109.65 | $147.91 | $234.42 | |
United
| Professional | $97.72 | $131.83 | $229.09 |