| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $204.17 | $371.54 | |
BCBS
| Professional | $107.15 | $194.98 | $371.54 | |
Cigna
| Professional | $117.49 | $229.09 | $478.63 | |
United
| Professional | $102.33 | $186.21 | $354.81 |