| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $169.82 | $213.80 | |
BCBS
| Professional | $158.49 | $158.49 | $158.49 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
United
| Professional | $63.10 | $109.65 | $141.25 |