| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.28 | $130.28 | $209.57 | |
BCBS
| Professional | $168.00 | $270.00 | $361.00 | |
Cigna
| Professional | $155.57 | $227.29 | $356.81 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $200.11 | $346.21 | $624.72 |