| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $131.83 | $186.21 | |
BCBS
| Professional | $93.33 | $128.82 | $245.47 | |
Cigna
| Professional | $107.15 | $177.83 | $380.19 | |
United
| Professional | $97.72 | $141.25 | $281.84 |