| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.83 | $134.83 | $134.83 | |
BCBS
| Professional | $134.83 | $158.62 | $158.62 | |
Cigna
| Professional | $148.32 | $148.32 | $148.32 | |
United
| Professional | $145.66 | $158.62 | $158.91 |