| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $208.93 | $234.42 | |
BCBS
| Professional | $309.03 | $389.05 | $794.33 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Facility | $251.19 | $251.19 | $251.19 | |
United
| Professional | $104.71 | $104.71 | $251.19 |