| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.41 | $76.41 | $82.94 | |
BCBS
| Professional | $119.00 | $147.00 | $147.00 | |
Cigna
| Professional | $112.81 | $138.28 | $165.88 | |
United
| Professional | $119.61 | $164.00 | $280.64 |