| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.61 | $130.87 | $130.87 | |
BCBS
| Professional | $110.00 | $169.00 | $225.00 | |
Cigna
| Professional | $101.13 | $146.66 | $218.00 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $125.98 | $216.00 | $389.76 |