| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.96 | $169.96 | $262.20 | |
BCBS
| Professional | $169.96 | $199.95 | $199.95 | |
Cigna
| Professional | $186.76 | $186.76 | $186.76 | |
United
| Professional | $183.43 | $199.95 | $200.10 |