| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.78 | $135.12 | $164.53 | |
BCBS
| Professional | $172.00 | $212.00 | $212.00 | |
Cigna
| Professional | $115.47 | $184.59 | $347.12 | |
United
| Professional | $136.96 | $207.00 | $341.16 |