| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.90 | $163.90 | $186.13 | |
BCBS
| Professional | $455.00 | $748.00 | $748.00 | |
Cigna
| Professional | $150.88 | $150.88 | $150.88 | |
United
| Professional | $178.11 | $340.38 | $582.40 |