| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $331.73 | $331.73 | $331.73 | |
BCBS
| Professional | $575.00 | $690.00 | $920.00 | |
Cigna
| Professional | $544.16 | $544.16 | $544.16 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $551.80 | $963.60 | $1,677.73 |