| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $223.87 | $660.69 | |
BCBS
| Professional | $223.87 | $223.87 | $660.69 | |
Cigna
| Professional | $154.88 | $269.15 | $416.87 | |
United
| Professional | $181.97 | $251.19 | $645.65 |