| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.36 | $208.93 | $251.19 | |
BCBS
| Professional | $169.82 | $229.09 | $407.38 | |
Cigna
| Professional | $186.21 | $186.21 | $288.40 | |
United
| Professional | $186.21 | $257.04 | $436.52 |