| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $409.63 | $409.63 | $409.63 | |
BCBS
| Professional | $188.00 | $226.00 | $977.00 | |
Cigna
| Professional | $115.71 | $198.56 | $905.12 | |
United
| Facility | $1,275.00 | $1,275.00 | $5,606.00 | |
United
| Professional | $530.54 | $1,232.01 | $1,478.40 |