| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $208.93 | $371.54 | |
BCBS
| Professional | $120.23 | $229.09 | $380.19 | |
Cigna
| Professional | $141.25 | $263.03 | $512.86 | |
United
| Professional | $117.49 | $208.93 | $371.54 |