| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.61 | $133.61 | $203.03 | |
BCBS
| Professional | $412.00 | $678.00 | $678.00 | |
Cigna
| Professional | $168.72 | $241.36 | $509.18 | |
United
| Professional | $158.13 | $341.44 | $510.13 |