| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.94 | $175.94 | $175.94 | |
BCBS
| Professional | $186.93 | $219.92 | $219.92 | |
Cigna
| Professional | $186.93 | $186.93 | $186.93 | |
United
| Professional | $183.26 | $183.26 | $183.26 |