| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $228.10 | $228.10 | $284.39 | |
BCBS
| Professional | $241.74 | $284.39 | $284.39 | |
Cigna
| Professional | $265.58 | $265.58 | $265.58 | |
United
| Professional | $260.83 | $284.39 | $284.56 |