| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.39 | $126.39 | $203.93 | |
BCBS
| Professional | $164.00 | $263.00 | $352.00 | |
Cigna
| Professional | $150.37 | $219.78 | $346.80 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $199.43 | $338.41 | $520.29 |