| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.13 | $169.30 | $187.92 | |
BCBS
| Professional | $131.47 | $174.02 | $174.02 | |
Cigna
| Professional | $118.85 | $225.30 | $301.00 | |
United
| Professional | $120.72 | $150.72 | $247.08 |