| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.18 | $140.18 | $140.18 | |
BCBS
| Professional | $185.00 | $228.00 | $228.00 | |
Cigna
| Professional | $201.06 | $201.06 | $201.06 | |
United
| Professional | $128.47 | $207.06 | $321.20 |