| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $138.04 | $199.53 | |
BCBS
| Professional | $204.17 | $251.19 | $251.19 | |
Cigna
| Professional | $173.78 | $251.19 | $309.03 | |
United
| Professional | $112.20 | $245.47 | $354.81 |