| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $215.02 | $215.02 | $215.02 | |
BCBS
| Professional | $377.00 | $503.00 | $604.00 | |
Cigna
| Professional | $219.35 | $303.06 | $454.60 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $265.02 | $378.61 | $690.79 |