| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.75 | $102.75 | $102.75 | |
BCBS
| Professional | $107.76 | $142.62 | $158.47 | |
Cigna
| Professional | $94.04 | $94.04 | $151.02 | |
United
| Professional | $89.25 | $103.54 | $167.05 |