| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.38 | $250.17 | $262.93 | |
BCBS
| Professional | $267.00 | $267.00 | $267.00 | |
Cigna
| Professional | $114.94 | $114.94 | $174.17 | |
United
| Professional | $79.64 | $119.47 | $171.39 |