| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $190.55 | $537.03 | |
BCBS
| Professional | $93.33 | $177.83 | $537.03 | |
Cigna
| Professional | $199.53 | $426.58 | $1,071.52 | |
United
| Professional | $67.61 | $109.65 | $309.03 |