| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $149.22 | $149.22 | $149.22 | |
BCBS
| Professional | $158.56 | $186.54 | $186.54 | |
Cigna
| Professional | $158.56 | $158.56 | $158.56 | |
United
| Professional | $155.44 | $155.44 | $155.44 |