| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.53 | $113.53 | $173.75 | |
BCBS
| Professional | $212.00 | $315.00 | $472.00 | |
Cigna
| Professional | $153.19 | $190.46 | $301.32 | |
United
| Professional | $194.70 | $335.98 | $516.13 |