| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.89 | $112.51 | $147.33 | |
BCBS
| Professional | $143.00 | $191.00 | $255.00 | |
Cigna
| Professional | $116.62 | $165.44 | $239.41 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $140.08 | $238.21 | $427.69 |