| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.20 | $112.20 | $154.88 | |
BCBS
| Professional | $154.88 | $190.55 | $190.55 | |
Cigna
| Professional | $123.03 | $190.55 | $234.42 | |
United
| Professional | $83.18 | $190.55 | $263.03 |