| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $134.90 | $1,258.93 | |
BCBS
| Professional | $134.90 | $134.90 | $269.15 | |
Cigna
| Professional | $72.44 | $123.03 | $173.78 | |
United
| Professional | $81.28 | $107.15 | $316.23 |