| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.02 | $113.00 | $181.21 | |
BCBS
| Professional | $194.16 | $194.16 | $194.16 | |
Cigna
| Professional | $69.31 | $136.72 | $249.75 | |
United
| Professional | $52.18 | $72.42 | $151.44 |