| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $149.26 | $149.26 | $149.26 | |
BCBS
| Professional | $200.00 | $246.00 | $246.00 | |
Cigna
| Professional | $116.51 | $176.27 | $221.02 | |
United
| Professional | $131.44 | $226.20 | $357.51 |