| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.53 | $57.53 | $169.66 | |
BCBS
| Professional | $90.00 | $119.00 | $332.00 | |
Cigna
| Professional | $83.03 | $161.27 | $368.70 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $250.80 | $378.47 | $601.91 |