| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.14 | $120.14 | $120.14 | |
BCBS
| Professional | $127.65 | $150.18 | $150.18 | |
Cigna
| Professional | $63.43 | $63.43 | $89.76 | |
United
| Professional | $125.15 | $125.15 | $125.15 |