| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.66 | $88.24 | $112.50 | |
BCBS
| Facility | $316.00 | $316.00 | $316.00 | |
BCBS
| Professional | $126.00 | $169.00 | $255.00 | |
Cigna
| Professional | $90.61 | $145.47 | $246.13 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $105.63 | $169.26 | $289.91 |