| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.33 | $135.33 | $283.45 | |
BCBS
| Professional | $246.00 | $359.00 | $729.00 | |
BCBS
| Professional | 50 | $369.00 | $646.50 | $1,093.50 |
Cigna
| Professional | $180.89 | $316.98 | $600.41 | |
United
| Professional | $373.45 | $518.91 | $1,057.32 |