| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.00 | $102.00 | $102.00 | |
BCBS
| Professional | $87.10 | $132.00 | $209.00 | |
Cigna
| Professional | $124.35 | $124.35 | $146.43 | |
United
| Professional | $40.93 | $136.41 | $153.47 |