| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $154.88 | $190.55 | |
BCBS
| Professional | $173.78 | $173.78 | $229.09 | |
Cigna
| Professional | $154.88 | $154.88 | $154.88 | |
United
| Professional | $162.18 | $194.98 | $245.47 |