| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $127.54 | $200.30 | $200.30 | |
BCBS
| Professional | $178.51 | $223.13 | $262.51 | |
Cigna
| Professional | $103.73 | $166.92 | $239.36 | |
United
| Professional | $140.61 | $175.76 | $259.60 |