| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.07 | $209.09 | $209.09 | |
BCBS
| Professional | $119.00 | $170.00 | $200.60 | |
Cigna
| Professional | $108.92 | $108.92 | $108.92 | |
United
| Professional | $82.22 | $133.59 | $158.90 |