| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $169.82 | $288.40 | |
BCBS
| Professional | $181.97 | $213.80 | $213.80 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
United
| Professional | $181.97 | $199.53 | $213.80 |