| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.69 | $81.19 | $172.80 | |
BCBS
| Professional | $96.00 | $119.00 | $176.00 | |
Cigna
| Professional | $76.26 | $128.16 | $199.51 | |
United
| Professional | $106.86 | $169.79 | $245.11 |