| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $134.90 | $199.53 | |
BCBS
| Professional | $66.07 | $109.65 | $154.88 | |
Cigna
| Professional | $89.13 | $128.82 | $229.09 | |
United
| Professional | $75.86 | $107.15 | $169.82 |