| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.92 | $116.47 | $211.43 | |
BCBS
| Professional | $167.00 | $206.00 | $418.00 | |
Cigna
| Professional | $150.11 | $263.50 | $366.05 | |
United
| Professional | $270.61 | $413.40 | $714.99 |