| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.06 | $80.06 | $80.06 | |
BCBS
| Professional | $105.00 | $140.00 | $168.00 | |
Cigna
| Professional | $69.84 | $101.14 | $151.71 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $86.22 | $130.19 | $218.91 |