| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.72 | $124.79 | $164.29 | |
BCBS
| Professional | $145.00 | $213.00 | $284.00 | |
Cigna
| Professional | $136.38 | $192.41 | $280.42 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $161.00 | $272.41 | $491.55 |