| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.88 | $134.88 | $134.88 | |
BCBS
| Professional | $143.31 | $168.60 | $168.60 | |
Cigna
| Professional | $143.31 | $143.31 | $143.31 | |
United
| Professional | $140.50 | $140.50 | $140.50 |