| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.99 | $140.99 | $140.99 | |
BCBS
| Professional | $156.97 | $184.68 | $184.68 | |
Cigna
| Professional | $172.37 | $172.37 | $172.37 | |
United
| Professional | $149.63 | $173.91 | $184.68 |