| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $177.83 | $380.19 | |
BCBS
| Professional | $128.82 | $213.80 | $380.19 | |
Cigna
| Professional | $147.91 | $234.42 | $524.81 | |
United
| Professional | $128.82 | $190.55 | $354.81 |