| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.97 | $153.74 | $163.12 | |
BCBS
| Professional | $220.00 | $272.00 | $272.00 | |
Cigna
| Professional | $172.60 | $238.19 | $311.97 | |
United
| Professional | $197.39 | $280.95 | $491.97 |