| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.75 | $138.46 | $204.20 | |
BCBS
| Professional | $119.98 | $160.57 | $254.25 | |
Cigna
| Professional | $126.70 | $184.91 | $281.77 | |
United
| Professional | $122.50 | $168.68 | $277.19 |