| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $112.20 | $186.21 | |
BCBS
| Professional | $93.33 | $138.04 | $199.53 | |
Cigna
| Professional | $93.33 | $138.04 | $199.53 | |
United
| Professional | $74.13 | $112.20 | $177.83 |