| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.31 | $180.98 | $213.47 | |
BCBS
| Professional | $265.00 | $327.00 | $327.00 | |
Cigna
| Professional | $156.29 | $287.08 | $406.71 | |
United
| Professional | $149.63 | $390.42 | $777.38 |