| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $186.21 | $588.84 | |
BCBS
| Professional | $169.82 | $169.82 | $204.17 | |
Cigna
| Professional | $112.20 | $190.55 | $316.23 | |
United
| Professional | $125.89 | $177.83 | $457.09 |