| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.90 | $350.00 | $400.00 | |
BCBS
| Professional | $342.00 | $422.00 | $422.00 | |
Cigna
| Professional | $99.38 | $327.96 | $402.92 | |
United
| Professional | $51.39 | $70.06 | $130.50 |