| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.91 | $155.05 | $169.90 | |
BCBS
| Professional | $191.34 | $191.34 | $191.34 | |
Cigna
| Professional | $108.53 | $108.53 | $108.53 | |
United
| Professional | $112.80 | $133.37 | $178.63 |