| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.66 | $147.66 | $147.66 | |
BCBS
| Professional | $206.00 | $206.00 | $254.00 | |
Cigna
| Professional | $255.02 | $255.02 | $550.91 | |
United
| Professional | $197.53 | $303.01 | $518.53 |