| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $197.98 | $230.77 | $230.77 | |
BCBS
| Professional | $220.80 | $220.80 | $220.80 | |
Cigna
| Professional | $108.53 | $108.53 | $108.53 | |
United
| Professional | $101.95 | $112.80 | $112.80 |