| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.24 | $173.82 | $296.17 | |
BCBS
| Professional | $252.00 | $252.00 | $414.00 | |
Cigna
| Professional | $88.84 | $154.38 | $237.20 | |
United
| Professional | $107.04 | $392.65 | $686.20 |