| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $114.82 | $245.47 | |
BCBS
| Professional | $77.62 | $114.82 | $199.53 | |
Cigna
| Professional | $104.71 | $165.96 | $239.88 | |
United
| Professional | $79.43 | $128.82 | $223.87 |