| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.28 | $113.28 | $113.28 | |
BCBS
| Professional | $120.36 | $141.60 | $141.60 | |
Cigna
| Professional | $120.36 | $120.36 | $120.36 | |
United
| Professional | $118.00 | $118.00 | $118.00 |