| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.19 | $125.85 | $152.18 | |
BCBS
| Professional | $161.96 | $161.96 | $209.68 | |
Cigna
| Professional | $114.94 | $114.94 | $114.94 | |
United
| Professional | $99.56 | $119.47 | $195.27 |