| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.81 | $190.81 | $224.72 | |
BCBS
| Professional | $378.62 | $378.62 | $378.62 | |
Cigna
| Professional | $220.00 | $220.00 | $220.00 | |
United
| Professional | $125.00 | $184.00 | $252.41 |