| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.19 | $68.87 | $100.60 | |
BCBS
| Professional | $212.00 | $349.00 | $349.00 | |
Cigna
| Professional | $86.94 | $129.49 | $235.59 | |
United
| Professional | $149.91 | $296.70 | $499.51 |