| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $128.82 | $128.82 | |
BCBS
| Professional | $104.71 | $104.71 | $251.19 | |
Cigna
| Professional | $50.12 | $57.54 | $354.81 | |
United
| Professional | $48.98 | $165.96 | $199.53 |