| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.99 | $153.25 | $190.44 | |
BCBS
| Professional | $174.96 | $174.96 | $174.96 | |
Cigna
| Professional | $151.21 | $235.06 | $293.82 | |
United
| Professional | $117.09 | $177.33 | $243.46 |