| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $162.18 | $263.03 | |
BCBS
| Professional | $165.96 | $194.98 | $194.98 | |
Cigna
| Professional | $181.97 | $181.97 | $181.97 | |
United
| Professional | $177.83 | $194.98 | $194.98 |