| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.00 | $127.50 | $127.50 | |
BCBS
| Professional | $127.50 | $150.00 | $150.00 | |
Cigna
| Professional | $127.50 | $127.50 | $127.50 | |
United
| Professional | $150.00 | $150.00 | $150.00 |