| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.65 | $85.86 | $171.86 | |
BCBS
| Professional | $105.00 | $130.00 | $188.00 | |
Cigna
| Professional | $84.57 | $140.00 | $211.96 | |
United
| Professional | $126.42 | $180.60 | $260.70 |