| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $165.96 | $199.53 | |
BCBS
| Professional | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
United
| Professional | $63.10 | $102.33 | $128.82 |