| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.99 | $131.99 | $131.99 | |
BCBS
| Professional | $172.00 | $212.00 | $212.00 | |
Cigna
| Professional | $186.55 | $186.55 | $186.55 | |
United
| Professional | $99.77 | $172.27 | $255.21 |