| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.95 | $146.43 | $229.68 | |
BCBS
| Professional | $123.91 | $158.43 | $266.05 | |
Cigna
| Professional | $129.05 | $192.96 | $308.72 | |
United
| Professional | $139.62 | $191.49 | $340.31 |