| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.40 | $154.03 | $204.31 | |
BCBS
| Professional | $183.00 | $183.00 | $183.00 | |
Cigna
| Professional | $136.24 | $136.24 | $175.08 | |
United
| Professional | $161.69 | $176.57 | $238.73 |