| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.66 | $122.43 | $148.46 | |
BCBS
| Professional | $192.00 | $237.00 | $237.00 | |
Cigna
| Professional | $126.67 | $209.02 | $295.02 | |
United
| Professional | $162.96 | $244.44 | $423.50 |