| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.65 | $170.65 | $170.65 | |
BCBS
| Professional | $223.00 | $275.00 | $275.00 | |
Cigna
| Professional | $109.35 | $168.93 | $239.29 | |
United
| Professional | $121.43 | $243.59 | $335.49 |