| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.71 | $124.10 | $142.36 | |
BCBS
| Professional | $114.45 | $170.18 | $296.11 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
United
| Professional | $124.86 | $164.63 | $270.67 | |
Wellcare
| Professional | $787.82 | $1,002.90 | $1,002.90 |