| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.80 | $136.24 | $294.55 | |
BCBS
| Professional | $143.00 | $177.00 | $411.00 | |
Cigna
| Professional | $134.06 | $229.88 | $421.05 | |
United
| Professional | $221.59 | $389.15 | $651.20 |