| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.75 | $99.28 | $231.57 | |
BCBS
| Professional | $235.00 | $386.00 | $386.00 | |
Cigna
| Professional | $98.48 | $146.13 | $267.39 | |
United
| Professional | $111.08 | $295.99 | $362.37 |