| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.47 | $143.47 | $143.47 | |
BCBS
| Professional | $239.86 | $282.19 | $282.19 | |
Cigna
| Professional | $263.38 | $263.38 | $263.38 | |
United
| Professional | $258.68 | $282.19 | $282.19 |