| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.77 | $176.42 | $220.37 | |
BCBS
| Professional | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $101.80 | $101.80 | $101.80 | |
United
| Professional | $70.54 | $88.18 | $127.25 |