| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $100.00 | $131.83 | |
BCBS
| Professional | $95.50 | $131.83 | $165.96 | |
Cigna
| Professional | $112.20 | $128.82 | $169.82 | |
United
| Professional | $81.28 | $109.65 | $154.88 |