| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $155.05 | $188.08 | $234.93 | |
BCBS
| Professional | $175.00 | $175.00 | $175.00 | |
Cigna
| Professional | $108.53 | $108.53 | $108.53 | |
United
| Professional | $75.20 | $94.00 | $135.66 |