| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.69 | $82.68 | $108.16 | |
BCBS
| Professional | $103.00 | $127.00 | $154.00 | |
Cigna
| Professional | $76.16 | $120.03 | $176.05 | |
United
| Professional | $96.14 | $159.40 | $261.81 |