| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $171.30 | $171.30 | $180.00 | |
BCBS
| Professional | $208.00 | $257.00 | $257.00 | |
Cigna
| Professional | $241.66 | $241.66 | $241.66 | |
United
| Professional | $238.17 | $300.77 | $612.69 |