| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.54 | $132.54 | $132.54 | |
BCBS
| Professional | $173.00 | $213.00 | $213.00 | |
Cigna
| Professional | $61.77 | $93.53 | $185.19 | |
United
| Professional | $70.03 | $189.20 | $223.59 |