| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.19 | $144.19 | $144.19 | |
BCBS
| Professional | $178.00 | $220.00 | $220.00 | |
Cigna
| Professional | $131.21 | $171.74 | $250.57 | |
United
| Professional | $151.59 | $226.20 | $415.99 |