| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.01 | $131.79 | $155.69 | |
BCBS
| Professional | $176.00 | $217.00 | $217.00 | |
Cigna
| Professional | $116.30 | $187.63 | $377.64 | |
United
| Professional | $123.29 | $205.32 | $408.83 |