| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.26 | $162.26 | $162.26 | |
BCBS
| Professional | $172.40 | $202.82 | $202.82 | |
Cigna
| Professional | $172.40 | $172.40 | $560.29 | |
United
| Professional | $202.82 | $202.82 | $202.82 |