| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.92 | $191.92 | $191.92 | |
BCBS
| Professional | $171.72 | $202.02 | $202.02 | |
Cigna
| Professional | $188.55 | $188.55 | $188.55 | |
United
| Professional | $185.19 | $202.02 | $202.02 |