| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $194.98 | $436.52 | |
BCBS
| Professional | $1,023.29 | $1,023.29 | $1,023.29 | |
Cigna
| Professional | $104.71 | $288.40 | $630.96 | |
United
| Professional | $177.83 | $316.23 | $758.58 |