| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $165.96 | $363.08 | |
BCBS
| Professional | $85.11 | $165.96 | $354.81 | |
Cigna
| Professional | $89.13 | $199.53 | $457.09 | |
United
| Professional | $75.86 | $162.18 | $323.59 |