| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.20 | $86.20 | $86.20 | |
BCBS
| Professional | $113.00 | $139.00 | $139.00 | |
Cigna
| Professional | $122.38 | $122.38 | $122.38 | |
United
| Professional | $43.13 | $103.81 | $120.51 |