| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.55 | $163.55 | $212.67 | |
BCBS
| Professional | $210.00 | $279.00 | $365.00 | |
Cigna
| Professional | $180.14 | $248.61 | $362.29 | |
United
| Facility | $1,275.00 | $1,275.00 | $5,606.00 | |
United
| Professional | $210.12 | $348.60 | $629.04 |