| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $533.53 | $533.53 | $533.53 | |
BCBS
| Professional | $194.00 | $283.00 | $827.00 | |
Cigna
| Professional | $154.13 | $263.20 | $891.35 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $548.70 | $958.17 | $2,534.39 |