| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.98 | $118.98 | $135.26 | |
BCBS
| Professional | $330.00 | $543.00 | $543.00 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
United
| Professional | $146.85 | $259.51 | $430.92 |