| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.21 | $143.85 | $149.44 | |
BCBS
| Professional | $162.00 | $162.00 | $162.00 | |
Cigna
| Professional | $104.60 | $104.60 | $104.60 | |
United
| Professional | $96.64 | $112.91 | $151.24 |