| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.62 | $108.62 | $108.62 | |
BCBS
| Professional | $268.00 | $439.00 | $439.00 | |
Cigna
| Professional | $114.73 | $160.38 | $396.65 | |
United
| Professional | $189.00 | $221.02 | $788.14 |