| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.50 | $186.12 | $333.60 | |
BCBS
| Professional | $377.00 | $464.00 | $464.00 | |
Cigna
| Professional | $190.20 | $360.68 | $443.12 | |
United
| Professional | $100.51 | $137.02 | $255.23 |