| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.95 | $188.37 | $197.98 | |
BCBS
| Professional | $201.00 | $201.00 | $201.00 | |
Cigna
| Professional | $108.53 | $108.53 | $164.46 | |
United
| Professional | $75.20 | $104.29 | $150.40 |