| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.91 | $114.54 | $258.97 | |
BCBS
| Professional | $165.00 | $204.00 | $204.00 | |
Cigna
| Professional | $95.24 | $158.44 | $228.22 | |
United
| Professional | $110.97 | $187.24 | $298.63 |