| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $147.91 | $288.40 | |
BCBS
| Professional | $123.03 | $177.83 | $208.93 | |
Cigna
| Professional | $123.03 | $173.78 | $489.78 | |
United
| Professional | $97.72 | $141.25 | $208.93 |