| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.79 | $122.79 | $122.79 | |
BCBS
| Professional | $220.00 | $264.00 | $385.00 | |
Cigna
| Professional | $162.76 | $204.85 | $281.77 | |
United
| Professional | $193.60 | $306.26 | $472.54 |