| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.96 | $116.62 | $240.10 | |
BCBS
| Professional | $104.67 | $123.14 | $123.14 | |
Cigna
| Professional | $115.07 | $115.07 | $115.07 | |
United
| Professional | $113.01 | $123.14 | $123.29 |