| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $107.15 | $162.18 | |
BCBS
| Professional | $199.53 | $302.00 | $363.08 | |
Cigna
| Professional | $112.20 | $181.97 | $354.81 | |
United
| Professional | $100.00 | $181.97 | $389.05 |