| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.28 | $112.57 | $115.16 | |
BCBS
| Professional | $158.00 | $195.00 | $195.00 | |
Cigna
| Professional | $95.25 | $171.41 | $222.80 | |
United
| Professional | $123.17 | $189.59 | $364.93 |