| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $149.44 | $181.29 | $200.34 | |
BCBS
| Professional | $150.00 | $150.00 | $150.00 | |
Cigna
| Professional | $104.60 | $104.60 | $104.60 | |
United
| Professional | $72.48 | $90.60 | $130.75 |