| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.49 | $117.04 | $123.19 | |
BCBS
| Professional | $163.00 | $202.00 | $202.00 | |
Cigna
| Professional | $104.68 | $177.19 | $248.92 | |
United
| Professional | $143.83 | $210.79 | $392.64 |