| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $204.17 | $316.23 | |
BCBS
| Professional | $114.82 | $162.18 | $204.17 | |
Cigna
| Professional | $102.33 | $186.21 | $338.84 | |
United
| Professional | $93.33 | $162.18 | $257.04 |