| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.59 | $116.62 | $138.55 | |
BCBS
| Professional | $241.00 | $272.00 | $326.00 | |
Cigna
| Professional | $107.34 | $176.37 | $302.81 | |
United
| Professional | $106.42 | $194.35 | $352.41 |