| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.36 | $134.36 | $214.00 | |
BCBS
| Professional | $173.00 | $230.00 | $368.00 | |
Cigna
| Professional | $172.06 | $250.23 | $365.98 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $216.01 | $356.23 | $577.49 |