| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $204.17 | $457.09 | |
BCBS
| Professional | $239.88 | $239.88 | $239.88 | |
Cigna
| Professional | $162.18 | $323.59 | $446.68 | |
United
| Professional | $208.93 | $281.84 | $812.83 |