| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.72 | $188.94 | $210.00 | |
BCBS
| Professional | $193.81 | $193.81 | $328.54 | |
Cigna
| Professional | $201.89 | $364.35 | $379.22 | |
United
| Professional | $132.56 | $242.09 | $302.99 |