| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.62 | $164.62 | $251.51 | |
BCBS
| Professional | $175.68 | $267.00 | $422.00 | |
Cigna
| Professional | $68.76 | $244.93 | $672.27 | |
United
| Professional | $107.40 | $312.44 | $402.75 |