| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $141.25 | $141.25 | |
BCBS
| Professional | $135.12 | $158.96 | $158.96 | |
Cigna
| Professional | $148.50 | $148.50 | $148.50 | |
United
| Professional | $158.96 | $174.86 | $190.75 |