| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.23 | $72.23 | $72.23 | |
BCBS
| Professional | $177.00 | $177.00 | $290.00 | |
Cigna
| Professional | $100.02 | $100.02 | $204.00 | |
United
| Professional | $104.70 | $158.69 | $341.01 |