| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $211.34 | $248.62 | $248.62 | |
BCBS
| Professional | $211.34 | $248.63 | $248.63 | |
Cigna
| Professional | $232.20 | $232.20 | $232.20 | |
United
| Professional | $228.05 | $248.63 | $248.78 |