| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.60 | $187.03 | $187.03 | |
BCBS
| Professional | $158.97 | $187.04 | $187.04 | |
Cigna
| Professional | $175.41 | $175.41 | $175.41 | |
United
| Professional | $172.37 | $187.09 | $188.04 |