| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.69 | $78.03 | $209.25 | |
BCBS
| Professional | $114.00 | $140.00 | $140.00 | |
Cigna
| Professional | $66.04 | $106.78 | $151.04 | |
United
| Professional | $76.34 | $122.40 | $201.72 |