| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.88 | $80.43 | $281.20 | |
BCBS
| Professional | $117.00 | $144.00 | $144.00 | |
Cigna
| Professional | $67.40 | $107.82 | $152.15 | |
United
| Professional | $80.53 | $131.94 | $203.69 |