| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $161.96 | $161.96 | $161.96 | |
BCBS
| Professional | $296.27 | $348.56 | $348.56 | |
Cigna
| Professional | $128.69 | $128.69 | $128.69 | |
United
| Professional | $259.31 | $259.31 | $259.31 |