| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.37 | $116.78 | $182.95 | |
BCBS
| Professional | $82.99 | $128.57 | $222.89 | |
Cigna
| Professional | $115.64 | $171.96 | $250.05 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 | |
United
| Professional | $104.94 | $173.32 | $252.84 |